MS. ELIZABETH PRESSLY KETTYLE CNM
NPI 1780735613
Advanced Practice Midwife in Providence, RI

Q: What is Elizabeth Kettyle's NPI number?

The NPI number for Elizabeth Kettyle is 1780735613. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Elizabeth Kettyle's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Kettyle was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 16, 2007PECOS Enrolled

101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1122(401) 459-0100 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, May 17, 2016, Nov 16, 2015 (3 updates tracked since 2015).

On this page

About Ms. Elizabeth Pressly Kettyle Cnm NPPES

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

MS. ELIZABETH PRESSLY KETTYLE CNM (NPI 1780735613) is an individual advanced practice midwife in Providence, Rhode Island, licensed in Rhode Island (CNM00163) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780735613

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMS. ELIZABETH PRESSLY KETTYLECredential: CNM

Location Address101 DUDLEY STProvidence, RI 02905-2401

Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886 · (401) 273-0641 · Fax (401) 273-2919

Phone(401) 274-1122

Fax(401) 459-0100

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1780735613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Licenses✔ Licensed in RI · CNM00163✔ Licensed in MA · RN240561

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

101 DUDLEY ST, Providence, RI 02905

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Other Identifiers 5

Medicaid0340570MA

Other1910257-001MA · Cigna

OtherCN0240MA · Bcbs

Other5715344MA · Hcvm

OtherHV0044MA · Hphc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Pressly Kettyle Cnm 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 Reassignment

Medicare enrollment records show Elizabeth Kettyle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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