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JESSICA MARIANA AMARAL NP
NPI 1770289019
Nurse Practitioner - Gerontology in Providence, RI

Active since February 07, 2023PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905(401) 553-8333(401) 868-2312 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Nov 5, 2025, Feb 7, 2023 (3 updates tracked since 2023).

About Jessica Mariana Amaral Np NPPES

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

JESSICA MARIANA AMARAL NP (NPI 1770289019) is an individual gerontology provider in Providence, Rhode Island, licensed in Rhode Island (APRN04772) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770289019
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJESSICA MARIANA AMARALCredential: NP
Location Address2 DUDLEY ST STE 470Providence, RI 02905-3248
Mailing Address15 Lasalle SquareProvidence, RI 02903 · (401) 444-3239
Phone(401) 553-8333
Fax(401) 868-2312
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 7, 2023
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1770289019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in RI · APRN04772
2 DUDLEY ST STE 470, Providence, RI 02905
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Mariana De Ponte

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

Jessica Mariana Amaral Np 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 ID4789176751
PECOS Enrollment IDI20251126001202
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 Jessica Amaral reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group, Inc.
Same address
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1174484216 (401) 272-1800

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

Hospital Affiliations CMS Care Compare

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

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.

DR. STEPHANIE N LUECKEL M.D.
Surgery (Surgical Critical Care)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0630
LIFESPAN PHYSICIAN GROUP, INC.
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800
DR. KATHERINE MACCALLUM MD
Surgery (Vascular Surgery)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8325
AMANDA MCHUGH NP
Nurse Practitioner
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0638
ABBAS EL SAYED ABBAS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8320
UNIVERSITY SURGICAL ASSOCIATES, INC.
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800
DR. TIMOTHY DAILY MURTHA M.D.
Surgery (Surgical Oncology)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 421-0245
SAMANTHA LUELLA RONAYNE PA-C
Physician Assistant
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800

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 Jessica Amaral's NPI number?

The NPI number for Jessica Amaral is 1770289019. It was assigned to this individual provider in the NPPES registry on February 7, 2023. The provider is also known as Jessica Mariana De Ponte.

Where is Jessica Amaral located?

Jessica Amaral practices at 2 Dudley St Ste 470, Providence, RI 02905. The listed phone number is (401) 553-8333.

What is Jessica Amaral's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jessica Amaral enrolled in Medicare?

Yes. Jessica Amaral 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 Jessica Amaral's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Amaral reassigns Medicare benefits to Lifespan Physician Group, Inc. (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 Jessica Amaral's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Amaral affiliated with any hospitals?

According to CMS data, Jessica Amaral is affiliated with Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Amaral was last updated on November 19, 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.