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JACQUELINE DUPUIS FERNANDES NP
NPI 1760712616
Nurse Practitioner in Providence, RI

Active since December 28, 2009PECOS Enrolled
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1100 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2024, Nov 23, 2019 (2 updates tracked since 2019).

About Jacqueline Dupuis Fernandes Np NPPES

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

JACQUELINE DUPUIS FERNANDES NP (NPI 1760712616) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (NPP37535) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760712616
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE DUPUIS FERNANDESCredential: NP
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address101 Dudley StProvidence, RI 02905-2401 · (401) 274-1100
Phone(401) 274-1100
Sole ProprietorNo
Enumeration DateDecember 28, 2009
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1760712616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · NPP37535
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License APRN00546 (RI)
101 DUDLEY ST, Providence, RI 02905
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Other Names 1

Other Name (5)Jackie Fernandes

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Dupuis Fernandes Np 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

2

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

Suite Life Medical PC
15 mi
Rheumatology
215 PLEASANT ST STE 5
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 4 clinicians in this Medicare group
NPI 1205604295 (508) 567-5666
Newport Hospital
22 mi
Obstetrics & Gynecology
11 FRIENDSHIP ST
Newport, RI 02840
  • Reassigned Medicare billing, Rhode Island enrollment
  • 72 clinicians in this Medicare group
NPI 1063632180 (401) 444-6905

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 Jacqueline Fernandes's NPI number?

The NPI number for Jacqueline Fernandes is 1760712616. It was assigned to this individual provider in the NPPES registry on December 28, 2009. The provider is also known as Jackie Fernandes.

Where is Jacqueline Fernandes located?

Jacqueline Fernandes practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1100.

What is Jacqueline Fernandes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacqueline Fernandes enrolled in Medicare?

Yes. Jacqueline Fernandes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Fernandes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Fernandes reassigns Medicare benefits to 2 organizations: Suite Life Medical PC (Fall River, MA) and Newport Hospital (Newport, 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 Jacqueline Fernandes'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 Jacqueline Fernandes was last updated on August 1, 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.