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NICOLE ELIZABETH GLEYZER D.O.
NPI 1679952220
Family Medicine in Pawtucket, RI

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
111 BREWSTER ST, FCC-B, PAWTUCKET, RI 02860(401) 729-2206(401) 729-3495 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Elizabeth Gleyzer D.o. NPPES

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

NICOLE ELIZABETH GLEYZER D.O. (NPI 1679952220) is an individual family medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (DO00919) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains a secondary practice location in East Greenwich.

NPPES Registry Identity

NPI1679952220
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE ELIZABETH GLEYZERCredential: D.O.
Location Address111 BREWSTER ST, FCC-BPawtucket, RI 02860-4474
Mailing Address111 Brewster St, Fcc-bPawtucket, RI 02860-4474 · (401) 729-2206 · Fax (401) 729-3495
Phone(401) 729-2206
Fax(401) 729-3495
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2015
Enumeration DateMay 28, 2015
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1679952220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · DO00919
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 BREWSTER ST, Pawtucket, RI 02860
Open in Google Maps ↗

Secondary Practice Location 1

Location 11405 S County Trl Ste 2AEast Greenwich, RI 02818-5081 · Phone (401) 736-4570

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

Nicole Elizabeth Gleyzer D.o. 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 ID1456665686
PECOS Enrollment IDI20180724003070
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 Nicole Gleyzer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC
4.5 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

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 02860 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.

MAHMOUD MOWAFY M.D.
Internal Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
ASHLEY NANCY MASTRANGELO DPM
Podiatrist (Foot & Ankle Surgery)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2977
JOHN RIEDEL MD
Emergency Medicine
111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE
PAWTUCKET, RI 02860
Providence County (401) 729-2191
MEMORIAL HOSPITAL
General Acute Care Hospital
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2836
JALEH FALLAH MD
Internal Medicine (Hematology & Oncology)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
MS. COLLEEN FOLEY-LUNT
Speech-Language Pathologist
111 BREWSTER ST, SPEECH LANGUAGE PATHOLOGY
PAWTUCKET, RI 02860
Providence County (508) 729-2316
MAXWELL VAN HOVEN MD
Family Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 737-7000
SCOTT MICHAEL CAMPBELL
Physical Therapist
111 BREWSTER ST, ND PHYSICAL THERAPY
PAWTUCKET, RI 02860
Providence County (401) 729-3481

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 Nicole Gleyzer's NPI number?

The NPI number for Nicole Gleyzer is 1679952220. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Nicole Gleyzer located?

Nicole Gleyzer practices at 111 Brewster St Fcc-B, Pawtucket, RI 02860. The listed phone number is (401) 729-2206.

What is Nicole Gleyzer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Gleyzer enrolled in Medicare?

Yes. Nicole Gleyzer 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 Nicole Gleyzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gleyzer reassigns Medicare benefits to Affinity Physicians LLC (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 Nicole Gleyzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Gleyzer affiliated with any hospitals?

According to CMS data, Nicole Gleyzer is affiliated with Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Gleyzer was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.