JENNIFER FORTES
NPI 1669143970
Nurse Practitioner - Acute Care in Providence, RI

Active since September 26, 2021PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-2500 Get Directions Write a Review

NPPES record last updated: September 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Fortes NPPES

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

JENNIFER FORTES (NPI 1669143970) is an individual acute care provider in Providence, Rhode Island, licensed in Rhode Island (APRN02840) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669143970
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER FORTES
Location Address164 SUMMIT AVEProvidence, RI 02906-2894
Mailing Address5 Myers DrLincoln, RI 02865-5025
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 26, 2021
NPPES CertifiedSeptember 24, 2021
NPI 1669143970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in RI · APRN02840
164 SUMMIT AVE, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Fortes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527446079
PECOS Enrollment IDI20220613000429
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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 20

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

Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906

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 Jennifer Fortes's NPI number?

The NPI number for Jennifer Fortes is 1669143970. It was assigned to this individual provider in the NPPES registry on September 26, 2021.

Where is Jennifer Fortes located?

Jennifer Fortes practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-2500.

What is Jennifer Fortes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Fortes enrolled in Medicare?

Yes. Jennifer Fortes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jennifer Fortes affiliated with any hospitals?

According to CMS data, Jennifer Fortes is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Fortes was last updated on September 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.