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RI WELLNESS MEDICAL CENTER LLC
NPI 1659025831
Nurse Practitioner - Family in North Providence, RI

Active since February 07, 2022
1635 MINERAL SPRING AVE STE 203, NORTH PROVIDENCE, RI 02904(401) 525-8202(308) 888-6638 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2024, Dec 20, 2022, Feb 7, 2022 (3 updates tracked since 2022).

About Ri Wellness Medical Center Llc NPPES

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

RI WELLNESS MEDICAL CENTER LLC (NPI 1659025831) is a healthcare organization registered as a family in North Providence, Rhode Island and active in the NPI registry since February 2022. The organization maintains a secondary practice location in North Providence and lists Eucharia U Ibeh, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1659025831
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRI WELLNESS MEDICAL CENTER LLC
Location Address1635 MINERAL SPRING AVE STE 203North Providence, RI 02904-4025
Mailing Address1635 Mineral Spring Ave Ste 203North Providence, RI 02904-4025 · (401) 525-8202 · Fax (308) 888-6638
Phone(401) 525-8202
Fax(308) 888-6638
Organization SubpartNo
Authorized OfficialEucharia U IbehFamily Nurse Practitioner · (401) 525-8202
Enumeration DateFebruary 7, 2022
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1659025831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1635 MINERAL SPRING AVE STE 203, North Providence, RI 02904
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Secondary Practice Location 1

Location 1468 Smithfield RdNorth Providence, RI 02904-4266 · Phone (401) 525-8202 · Fax (308) 888-6636

Other Identifiers 2

Medicaid1194326991RI
Medicaid1659025831RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ri Wellness Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ri Wellness Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eucharia Ibeh
Nurse Practitioner
NPI 1194326991
1635 MINERAL SPRING AVE STE 203
North Providence, RI 02904
(401) 525-8202
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ri Wellness Medical Center LLC's NPI number?

The NPI number for Ri Wellness Medical Center LLC is 1659025831. It was assigned to this organization in the NPPES registry on February 7, 2022.

Where is Ri Wellness Medical Center LLC located?

Ri Wellness Medical Center LLC is located at 1635 Mineral Spring Ave Ste 203, North Providence, RI 02904. The listed phone number is (401) 525-8202.

What is Ri Wellness Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ri Wellness Medical Center LLC enrolled in Medicare?

Yes. Ri Wellness Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ri Wellness Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ri Wellness Medical Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ri Wellness Medical Center LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.