KATHLEEN JOHANNA NELSON MD
NPI 1699304360
Family Medicine in West Warwick, RI

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
186 PROVIDENCE ST, WEST WARWICK, RI 02893(401) 615-2800 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Feb 6, 2025, Jun 27, 2020 and 1 more (4 updates tracked since 2020).

About Kathleen Johanna Nelson Md NPPES

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

KATHLEEN JOHANNA NELSON MD (NPI 1699304360) is an individual family medicine provider in West Warwick, Rhode Island, licensed in Rhode Island (MD19478) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699304360
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN JOHANNA NELSONCredential: MD
Location Address186 PROVIDENCE STWest Warwick, RI 02893-2508
Mailing Address186 Providence StWest Warwick, RI 02893-2508 · (401) 615-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 5, 2020
Last NPPES UpdateAugust 29, 20254 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
NPI 1699304360 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 · MD19478
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.
186 PROVIDENCE ST, West Warwick, RI 02893

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

Kathleen Johanna Nelson Md 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 ID2466876222
PECOS Enrollment IDI20240416000736
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 2

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

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 02893 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)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Nurse Practitioner
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Family Medicine
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Nurse Practitioner (Family)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Social Worker (Clinical)
186 PROVIDENCE ST
WEST WARWICK, RI 02893
Family Medicine
186 PROVIDENCE ST
WEST WARWICK, RI 02893

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 Kathleen Nelson's NPI number?

The NPI number for Kathleen Nelson is 1699304360. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Kathleen Nelson located?

Kathleen Nelson practices at 186 Providence St, West Warwick, RI 02893. The listed phone number is (401) 615-2800.

What is Kathleen Nelson's specialty?

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

Is Kathleen Nelson enrolled in Medicare?

Yes. Kathleen Nelson 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 Kathleen Nelson affiliated with any hospitals?

According to CMS data, Kathleen Nelson is affiliated with Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Nelson was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.