MAKAYLA LOURENCO NP
NPI 1639848591
Nurse Practitioner - Pediatrics in Providence, RI

Q: What is Makayla Lourenco's NPI number?

The NPI number for Makayla Lourenco is 1639848591. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Q: What is Makayla Lourenco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Makayla Lourenco was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2021PECOS Enrolled

2 DUDLEY ST STE 190, PROVIDENCE, RI 02905(401) 421-1939(401) 868-2319 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Oct 7, 2021, Sep 13, 2021 (3 updates tracked since 2021).

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About Makayla Lourenco Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKAYLA LOURENCO NP (NPI 1639848591) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN02885) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1639848591

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMAKAYLA LOURENCOCredential: NP

Location Address2 DUDLEY ST STE 190Providence, RI 02905-3248

Mailing Address15 Lasalle SquareProvidence, RI 02903 · (401) 444-3239

Phone(401) 421-1939

Fax(401) 868-2319

Sole ProprietorNo

Enumeration DateSeptember 13, 2021

Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1639848591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in RI · APRN02885✔ Licensed in MA · RN2345178

Also ListedRegistered NurseTaxonomy 163W00000X · License RN67134 (RI)

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN02885 (RI)

2 DUDLEY ST STE 190, Providence, RI 02905

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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makayla Lourenco Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN LEIGH KLIMM PA-C

Physician Assistant (Surgical)