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CARLEE A. MAYNARD NP
NPI 1679326748
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since April 09, 2024PECOS EnrolledAccepts Medicare Assignment
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlee A. Maynard Np NPPES

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

CARLEE A. MAYNARD NP (NPI 1679326748) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN03962) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679326748
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARLEE A. MAYNARDCredential: NP
Location Address355 PRAIRIE AVEProvidence, RI 02905-1928
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400
Phone(401) 444-0570
Fax(401) 444-0427
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1679326748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in RI · APRN03962
355 PRAIRIE AVE, Providence, RI 02905
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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

Carlee A. Maynard 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 ID1557701075
PECOS Enrollment IDI20240501002637
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 Reassignments

2

Medicare enrollment records show Carlee Maynard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
0.6 mi
Psychiatry
593 EDDY STREET
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 315 clinicians in this Medicare group
NPI 1548506793 (401) 444-7442
Rhode Island Hospital
0.6 mi
Hematology & Oncology
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 182 clinicians in this Medicare group
NPI 1396849782 (401) 444-5291

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 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 20

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

SORAYA S. P. DARWOOD MD
Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
PAMELA GONZALEZ MS
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
LUIS DAVID RODRIGUEZ MA, LMHC
Counselor (Mental Health)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 276-4193
MS. ARLINE A CABRERA MSW
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 921-8662
GABRIELA GARZA M.S.
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 515-8844
ALIIA AGLIULLINA MD
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
SUMI SINGH MD
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
ANDREW W. LEUKHARDT RN, CDOE
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570

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 Carlee Maynard's NPI number?

The NPI number for Carlee Maynard is 1679326748. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Carlee Maynard located?

Carlee Maynard practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.

What is Carlee Maynard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carlee Maynard enrolled in Medicare?

Yes. Carlee Maynard 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 organizations bill Medicare for Carlee Maynard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlee Maynard reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and Rhode Island Hospital (Providence, RI). Each 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 Carlee Maynard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlee Maynard accept?

Health plans from Harvard Pilgrim Health Care list Carlee Maynard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlee Maynard was last updated on April 9, 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.