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HOLLY CHRISTINE TINDALL APRN-CNP
NPI 1699391086
Nurse Practitioner - Family in Providence, RI

Active since June 22, 2020PECOS Enrolled
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1122(401) 453-7571 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2024, Jul 8, 2020, Jun 22, 2020 (3 updates tracked since 2020).

About Holly Christine Tindall Aprn-cnp NPPES

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

HOLLY CHRISTINE TINDALL APRN-CNP (NPI 1699391086) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN02372) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Warwick.

NPPES Registry Identity

NPI1699391086
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY CHRISTINE TINDALLCredential: APRN-CNP
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address101 Dudley StProvidence, RI 02905-2401 · (401) 274-1122 · Fax (401) 453-7571
Phone(401) 274-1122
Fax(401) 453-7571
Sole ProprietorNo
Enumeration DateJune 22, 2020
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1699391086 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 · APRN02372
101 DUDLEY ST, Providence, RI 02905
Open in Google Maps ↗

Secondary Practice Location 1

Location 1186 Providence StWest Warwick, RI 02893-2508 · Phone (401) 615-2800 · Fax (401) 615-2805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Christine Tindall Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Holly Tindall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
Same address
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
Quality Behavioral Health
6.6 mi
Counselor
75 LAMBERT LIND HWY
Warwick, RI 02886
  • Reassigned Medicare billing, Rhode Island enrollment
  • 43 clinicians in this Medicare group
NPI 1154485480 (401) 681-4274
Thundermist Health Center
8.5 mi
Federally Qualified Health Center (FQHC)
186 PROVIDENCE ST
West Warwick, RI 02893
  • Reassigned Medicare billing, Rhode Island enrollment
  • 288 clinicians in this Medicare group
NPI 1376708560 (401) 615-2800

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.

CHRISTOPHER DONALD PALMER DO
Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BRITTANY S HAMPTON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEIDI FANION LCSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
MS. LINDA BEETLESTONE MS
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-7515
JULIE ANNA KNUTSON RN, CNM
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BETHANY DAWSON LICSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEATHER A SMITH MD, MPH
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
NADINE C KASSIS MD
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100

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 Holly Tindall's NPI number?

The NPI number for Holly Tindall is 1699391086. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Holly Tindall located?

Holly Tindall practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is Holly Tindall's specialty?

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

Is Holly Tindall enrolled in Medicare?

Yes. Holly Tindall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holly Tindall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Tindall reassigns Medicare benefits to 3 organizations: Affinity Physicians LLC (Providence, RI), Quality Behavioral Health (Warwick, RI) and Thundermist Health Center (West Warwick, 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 Holly Tindall'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 Holly Tindall was last updated on August 15, 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.