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AMANDA NICOLE KILGALLON PMHNP, APRN
NPI 1750264354
Nurse Practitioner - Psychiatric/Mental Health in South Kingstown, RI

Active since July 30, 2025PECOS EnrolledAccepts Medicare Assignment
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879(401) 785-0040 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Nicole Kilgallon Pmhnp, Aprn NPPES

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

AMANDA NICOLE KILGALLON PMHNP, APRN (NPI 1750264354) is an individual psychiatric/mental health provider in South Kingstown, Rhode Island, licensed in Rhode Island (APRN05002) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwich, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750264354
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA NICOLE KILGALLONCredential: PMHNP, APRN
Location Address65 VILLAGE SQUARE DR STE 302South Kingstown, RI 02879-2569
Mailing Address108 New London Tpke Ste 1Norwich, CT 06360-2645
Phone(401) 785-0040
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 30, 2025
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1750264354 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
Licenses✔ Licensed in RI · APRN05002✔ Licensed in CT · 15148
65 VILLAGE SQUARE DR STE 302, South Kingstown, RI 02879
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Secondary Practice Location 1

Location 1108 New London Tpke Ste 1Norwich, CT 06360-2645 · Phone (860) 889-3052

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

Amanda Nicole Kilgallon Pmhnp, Aprn 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 ID244712651
PECOS Enrollment IDI20260304004110
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 Amanda Kilgallon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Family Psychiatry, Inc.
21 mi
Psychiatry
1035 POST RD
Warwick, RI 02888
  • Reassigned Medicare billing, Rhode Island enrollment
  • 158 clinicians in this Medicare group
NPI 1760863229 (401) 785-0040

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 02879 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.

LAURA DAVIDSON NP
Nurse Practitioner (Psychiatric/Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
APRILE ROSE DALEY LICSW
Social Worker (Clinical)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
DEBORAH D'AMICO BERGNER LICSW
Social Worker (Clinical)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
DANIELA MONICA ZBONA PHD
Psychologist
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
ABIGAIL OWEN POST DOCTORATE
Student in an Organized Health Care Education/Training Program
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (877) 910-1878
JODY ANN EYRE LMFT
Marriage & Family Therapist
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
RACHEL F MIKUTEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (310) 905-2111
MS. LAURIE JEAN HARPER PH.D, LMHC-A
Counselor (Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040

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 Amanda Kilgallon's NPI number?

The NPI number for Amanda Kilgallon is 1750264354. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Amanda Kilgallon located?

Amanda Kilgallon practices at 65 Village Square Dr Ste 302, South Kingstown, RI 02879. The listed phone number is (401) 785-0040.

What is Amanda Kilgallon's specialty?

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

Is Amanda Kilgallon enrolled in Medicare?

Yes. Amanda Kilgallon 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 Amanda Kilgallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Kilgallon reassigns Medicare benefits to Child And Family Psychiatry, Inc. (Warwick, 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 Amanda Kilgallon'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 Amanda Kilgallon was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.