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CORETTA ANTWI NP
NPI 1679014104
Nurse Practitioner - Adult Health in Cranston, RI

Active since March 16, 2017PECOS EnrolledAccepts Medicare Assignment
94 ROLFE SQ, CRANSTON, RI 02910(401) 837-6716 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2018, Mar 16, 2017 (2 updates tracked since 2017).

About Coretta Antwi Np NPPES

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

CORETTA ANTWI NP (NPI 1679014104) is an individual adult health provider in Cranston, Rhode Island, licensed in Rhode Island (APRN01657) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679014104
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCORETTA ANTWICredential: NP
Location Address94 ROLFE SQCranston, RI 02910-3413
Mailing Address94 Rolfe SqCranston, RI 02910-3413 · (401) 837-6716
Phone(401) 837-6716
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 16, 2017
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1679014104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in RI · APRN01657
Also ListedRegistered NurseTaxonomy 163W00000X · License 48253 (RI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN01657 (RI)
94 ROLFE SQ, Cranston, RI 02910
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Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-5520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Coretta Antwi Np 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 ID2163842576
PECOS Enrollment IDI20201022002877
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.

Medicare Billing Reassignment

Medicare enrollment records show Coretta Antwi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group, Inc.
2.9 mi
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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.

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 Coretta Antwi's NPI number?

The NPI number for Coretta Antwi is 1679014104. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Coretta Antwi located?

Coretta Antwi practices at 94 Rolfe Sq, Cranston, RI 02910. The listed phone number is (401) 837-6716.

What is Coretta Antwi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Coretta Antwi enrolled in Medicare?

Yes. Coretta Antwi 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.

Which organization bills Medicare for Coretta Antwi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Coretta Antwi reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). The 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 Coretta Antwi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Coretta Antwi was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.