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SYDNEY FORMICOLA NP
NPI 1790667350
Nurse Practitioner in Providence, RI

Active since July 24, 2025PECOS EnrolledAccepts Medicare Assignment
208 COLLYER ST STE 301A, PROVIDENCE, RI 02904(401) 725-4888(401) 725-3336 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sydney Formicola Np NPPES

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

SYDNEY FORMICOLA NP (NPI 1790667350) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN04637) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790667350
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSYDNEY FORMICOLACredential: NP
Location Address208 COLLYER ST STE 301AProvidence, RI 02904-1560
Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069
Phone(401) 725-4888
Fax(401) 725-3336
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1790667350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · APRN04637
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.
208 COLLYER ST STE 301A, Providence, RI 02904
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sydney Formicola 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 ID6002311263
PECOS Enrollment IDI20250926002826
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA GOLOGORSKY M.D.
Colon & Rectal Surgery
208 COLLYER ST STE 301A
PROVIDENCE, RI 02904
Providence County (401) 725-4888
DR. MATTHEW DANIEL VREES M.D.
Colon & Rectal Surgery
208 COLLYER ST STE 301A
PROVIDENCE, RI 02904
Providence County (401) 725-4888

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 Sydney Formicola's NPI number?

The NPI number for Sydney Formicola is 1790667350. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Sydney Formicola located?

Sydney Formicola practices at 208 Collyer St Ste 301A, Providence, RI 02904. The listed phone number is (401) 725-4888.

What is Sydney Formicola's specialty?

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

Is Sydney Formicola enrolled in Medicare?

Yes. Sydney Formicola 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.

When was this NPI record last updated?

The NPPES record for Sydney Formicola was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.