JEANETTE THIBAULT APRN, CNP, FNP-C
NPI 1669809653
Nurse Practitioner - Family in Warwick, RI

Active since October 04, 2013PECOS EnrolledAccepts Medicare Assignment
400 BALD HILL ROAD, SUITE 511, WARWICK, RI 02886(401) 738-8100 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Dec 1, 2015 (2 updates tracked since 2015).

About Jeanette Thibault Aprn, Cnp, Fnp-c NPPES

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

JEANETTE THIBAULT APRN, CNP, FNP-C (NPI 1669809653) is an individual family provider in Warwick, Rhode Island, licensed in Rhode Island (APRN00134) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1669809653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANETTE THIBAULTCredential: APRN, CNP, FNP-C
Location Address400 BALD HILL ROAD, SUITE 511Warwick, RI 02886
Mailing Address400 Bald Hill Road, Suite 511Warwick, RI 02886 · (401) 738-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 4, 2013
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1669809653 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
License Licensed in RI · APRN00134
400 BALD HILL ROAD, Warwick, RI 02886

Other Names 1

Former Name (1)Jeanette Gourd

Secondary Practice Location 1

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658

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

Jeanette Thibault Aprn, Cnp, Fnp-c 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 ID5890923197
PECOS Enrollment IDI20140113001444
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 02886 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 3

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

Psychologist (Clinical)
400 BALD HILL ROAD, SUITE 530
WARWICK, RI 02886
Clinic/Center
400 BALD HILL ROAD, SUITE 503
WARWICK, RI 02886
Family Medicine
400 BALD HILL ROAD
WARWICK, RI 02886

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 Jeanette Thibault's NPI number?

The NPI number for Jeanette Thibault is 1669809653. It was assigned to this individual provider in the NPPES registry on October 4, 2013. The provider is also known as Jeanette Gourd.

Where is Jeanette Thibault located?

Jeanette Thibault practices at 400 Bald Hill Road Suite 511, Warwick, RI 02886. The listed phone number is (401) 738-8100.

What is Jeanette Thibault's specialty?

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

Is Jeanette Thibault enrolled in Medicare?

Yes. Jeanette Thibault 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 Jeanette Thibault affiliated with any hospitals?

According to CMS data, Jeanette Thibault is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Jeanette Thibault was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.