LISA ELLEN JACAVONE RN/NP
NPI 1801084751
Nurse Practitioner - Acute Care in Providence, RI

Q: What is Lisa Jacavone's NPI number?

The NPI number for Lisa Jacavone is 1801084751. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Q: What is Lisa Jacavone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jacavone was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 04, 2007PECOS Enrolled

830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100(401) 459-4797 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Ellen Jacavone Rn/np NPPES

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

LISA ELLEN JACAVONE RN/NP (NPI 1801084751) is an individual acute care provider in Providence, Rhode Island, licensed in Massachusetts (RN2274406) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801084751

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameLISA ELLEN JACAVONECredential: RN/NP

Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734

Mailing Address830 Chalkstone AveProvidence, RI 02908-4734 · (401) 273-7100 · Fax (401) 459-4797

Phone(401) 273-7100

Fax(401) 459-4797

Sole ProprietorYes

Enumeration DateOctober 4, 2007

Last NPPES UpdateJanuary 24, 2023

NPPES CertifiedJanuary 24, 2023

✔ NPI 1801084751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in MA · RN2274406✔ Licensed in RI · NPP37867

Also ListedRegistered NurseTaxonomy 163W00000X · License RN36765 (RI)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN01777 (RI)

830 CHALKSTONE AVE, Providence, RI 02908

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Other Identifiers 2

OtherAPRN01777RI · Advanced Practice Registered Nurse License

OtherCNP2274406MA · Certified Nurse Practitioner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Ellen Jacavone Rn/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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers15 claims15 services$31.45 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers25 claims25 services$79.01 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers19 claims53 services$30.34 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers17 claims17 services$16.16 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers26 claims152 services$1.77 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers15 claims15 services$10.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELIZABETH SEVIN

Social Worker (Clinical)