MEDITELECARE OF RHODE ISLAND LLC
NPI 1801477963
Nurse Practitioner in Warwick, RI

Active since April 19, 2021
222 JEFFERSON BLVD STE 200, WARWICK, RI 02888(860) 788-6404 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2025, Mar 6, 2025, Sep 4, 2024 and 2 more (5 updates tracked since 2021).

About Meditelecare Of Rhode Island Llc NPPES

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

MEDITELECARE OF RHODE ISLAND LLC (NPI 1801477963) is a healthcare organization registered as a nurse practitioner in Warwick, Rhode Island and active in the NPI registry since April 2021. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1801477963
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMEDITELECARE OF RHODE ISLAND LLC
Location Address222 JEFFERSON BLVD STE 200Warwick, RI 02888-3855
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateApril 19, 2021
Last NPPES UpdateMay 5, 20255 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1801477963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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 ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
222 JEFFERSON BLVD STE 200, Warwick, RI 02888

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meditelecare Of Rhode Island Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Meditelecare Of Rhode Island LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Clinical Psychologist4
Clinical Social Worker4

Clinicians, nearest first (14)

Clinical Psychologist
NPI 1669960084
222 JEFFERSON BLVD
Warwick, RI 02888
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215482831
222 JEFFERSON BLVD STE 200
Warwick, RI 02888
(800) 370-3651
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1083481758
1023 POST RD
Warwick, RI 02888
(401) 773-7116
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1841902970
712 BROAD ST
Providence, RI 02907
(401) 233-5060
✔ PECOS✔ Accepts Medicare4.5 mi
Clinical Social Worker
NPI 1013566397
290 KENYON AVE
Pawtucket, RI 02861
(401) 632-6434
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1417789553
1130 TEN ROD RD STE C104
North Kingstown, RI 02852
(401) 446-2350
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1356952477
213 COURT ST FL 6
Middletown, CT 06457
(860) 788-6404
✔ PECOS64 mi
Clinical Social Worker
NPI 1023256930
430 NEW PARK AVE
West Hartford, CT 06110
(475) 271-7944
✔ PECOS✔ Accepts Medicare66 mi
Clinical Psychologist
NPI 1356579395
55 DESSA DR
Hamden, CT 06517
(404) 386-8412
✔ PECOS✔ Accepts Medicare81 mi
Nurse Practitioner
NPI 1134554132
1 PENN PLZ SUITE 725
New York, NY 10119
(212) 216-6436
✔ PECOS✔ Accepts Medicare150 mi
Clinical Psychologist
NPI 1528097383
92 MERRILL RD
Pittsburg, NH 03592
(603) 538-6001
✔ PECOS233 mi
Nurse Practitioner
NPI 1285280529
25 POP KRAMER BLVD
Clayton, NJ 08312
(856) 881-9000
✔ PECOS239 mi
Clinical Psychologist
NPI 1457503534
1160 DUBLIN RD STE 400
Columbus, OH 43215
(860) 788-6404
✔ PECOS620 mi
Nurse Practitioner
NPI 1588932461
216 ATLANTA RD STE F-2036
Cumming, GA 30040
(401) 391-5282
✔ PECOS✔ Accepts Medicare865 mi

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

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 Meditelecare Of Rhode Island LLC's NPI number?

The NPI number for Meditelecare Of Rhode Island LLC is 1801477963. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Meditelecare Of Rhode Island LLC located?

Meditelecare Of Rhode Island LLC is located at 222 Jefferson Blvd Ste 200, Warwick, RI 02888. The listed phone number is (860) 788-6404.

What is Meditelecare Of Rhode Island LLC's specialty?

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

Is Meditelecare Of Rhode Island LLC enrolled in Medicare?

Yes. Meditelecare Of Rhode Island LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meditelecare Of Rhode Island LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Meditelecare Of Rhode Island LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Psychologist (4) and Clinical Social Worker (4). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Meditelecare Of Rhode Island LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.