WELLONE PRIMARY MEDICAL AND DENTAL CARE
NPI 1801951397
Clinic/Center - Community Health in N. Kingstown, RI

Active since December 26, 2006CLIA 41D0868361 · Microscopy
308 CALLAHAN RD, N. KINGSTOWN, RI 02852(401) 295-9706(401) 295-0920 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellone Primary Medical And Dental Care NPPES

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

WELLONE PRIMARY MEDICAL AND DENTAL CARE (NPI 1801951397) is a healthcare organization registered as a community health in N. Kingstown, Rhode Island and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through July 6, 2027 and lists Peter J. Bancroft, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1801951397
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameNORTHWEST COMMUNITY HEALTH CARE
Location Address308 CALLAHAN RDN. Kingstown, RI 02852-7739
Mailing AddressPo Box 312Pascoag, RI 02859 · (401) 568-7664 · Fax (401) 285-5101
Fax(401) 295-0920
Organization SubpartNo
Authorized OfficialPeter J. BancroftPresident & Ceo · (401) 285-5119
Enumeration DateDecember 26, 2006
Last NPPES UpdateOctober 21, 2011
✔ NPI 1801951397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Licenses✔ Licensed in RI · ACF01597✔ Licensed in RI · ACF01530
308 CALLAHAN RD, N. Kingstown, RI 02852

Other Names 1

Doing Business AsWellone Primary Medical And Dental Care

Other Identifiers 4

MedicaidNC50602RI
MedicaidBS41307RI
Medicare PIN411816RI
MedicaidBS41305RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellone Primary Medical And Dental Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Wellone Primary Medical And Dental Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner21
Family Practice5
Clinical Psychologist4
Mental Health Counselor4
Clinical Social Worker2
Internal Medicine2
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 39
Nurse Practitioner
NPI 1396532354
308 CALLAHAN RD
North Kingstown, RI 02852
(401) 295-9706
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437633435
308 CALLAHAN RD
North Kingstown, RI 02852
(401) 295-9706
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255784005
308 CALLAHAN RD
North Kingstown, RI 02852
(401) 295-9706
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1043646128
308 CALLAHAN RD
North Kingstown, RI 02852
(401) 295-9706
✔ PECOSSame address
Nurse Practitioner
NPI 1003243148
215 TOLL GATE RD STE 104
Warwick, RI 02886
(401) 921-7290
✔ PECOS7.1 mi
Nurse Practitioner
NPI 1316381205
215 TOLL GATE RD STE 309310
Warwick, RI 02886
(401) 287-7746
✔ PECOS7.1 mi
Mental Health Counselor
NPI 1306285143
160 GEORGE ARDEN AVE
Warwick, RI 02886
(401) 921-5193
✔ PECOS7.4 mi
Family Practice
NPI 1619505385
455 TOLL GATE RD
Warwick, RI 02886
(401) 737-7010
✔ PECOS✔ Accepts Medicare7.6 mi
Family Practice
NPI 1174106918
455 TOLL GATE RD
Warwick, RI 02886
(401) 737-7010
✔ PECOS✔ Accepts Medicare7.6 mi
Clinical Psychologist
NPI 1831120260
33 COLLEGE HILL RD 29C
Warwick, RI 02886
(401) 822-4673
✔ PECOS✔ Accepts Medicare8.2 mi
Clinical Psychologist
NPI 1215988175
850 AQUIDNECK AVE
Middletown, RI 02842
(401) 440-7927
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1255864443
1023 POST RD
Warwick, RI 02888
(401) 391-5489
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1235597139
355 PRAIRIE AVE
Providence, RI 02905
(401) 444-0570
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1356723548
160 BROAD ST
Providence, RI 02903
(401) 861-2403
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1326424466
1126 HARTFORD AVE
Johnston, RI 02919
(401) 351-2750
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1770205015
1126 HARTFORD AVE
Johnston, RI 02919
(401) 351-2750
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1275032476
1126 HARTFORD AVE
Johnston, RI 02919
(401) 351-2750
✔ PECOS15 mi
Internal Medicine
NPI 1982770764
50 MAUDE ST
Providence, RI 02908
(401) 456-2145
✔ PECOS✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1740727650
200 HIGH SERVICE AVE FATIMA HOSPITAL - MARIAN HALL
North Providence, RI 02904
(401) 456-3034
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1346623691
35 VILLAGE PLAZA WAY
North Scituate, RI 02857
(401) 647-6262
✔ PECOS✔ Accepts Medicare18 mi
See all 39 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D0868361

Northwest Community Health Care Dba Wellone Primary Medical And Dental Care · North Kingstown, RI
Active · expires Jul 6, 2027
CLIA Number41D0868361
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorAndrea Marcotte Rnp
Laboratory Phone(401) 295-9706
Laboratory LocationNorthwest Community Health Care Dba Wellone Primary Medical And Dental Care308 Callahan Rd, North Kingstown, RI 02852
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Northwest Community Health Care's NPI number?

The NPI number for Northwest Community Health Care is 1801951397. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Wellone Primary Medical And Dental Care.

Where is Northwest Community Health Care located?

Northwest Community Health Care is located at 308 Callahan Rd, N. Kingstown, RI 02852. The listed phone number is (401) 295-9706.

What is Northwest Community Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Northwest Community Health Care enrolled in Medicare?

Yes. Northwest Community Health Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Community Health Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 7 Medicare specialties reassign their Medicare billing to Northwest Community Health Care. 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 (21), Family Practice (5) and Clinical Psychologist (4). Of these, 4 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northwest Community Health Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 41D0868361) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Community Health Care was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.