ANDRIA DUARTE PMHNP-BC
NPI 1811721897
Nurse Practitioner - Psychiatric/Mental Health in South Kingstown, RI

Q: What is Andria Duarte's NPI number?

The NPI number for Andria Duarte is 1811721897. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Q: What is Andria Duarte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Andria Duarte was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 30, 2024PECOS EnrolledAccepts Medicare Assignment

66 MAIN ST STE 202, SOUTH KINGSTOWN, RI 02879(401) 241-5660 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2026, Sep 9, 2024, Sep 3, 2024 (3 updates tracked since 2024).

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About Andria Duarte Pmhnp-bc NPPES

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

ANDRIA DUARTE PMHNP-BC (NPI 1811721897) is an individual psychiatric/mental health provider in South Kingstown, Rhode Island, licensed in Rhode Island (APRN04182) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811721897

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANDRIA DUARTECredential: PMHNP-BC

Location Address66 MAIN ST STE 202South Kingstown, RI 02879-3651

Mailing Address18 E Greenwich Ave Apt 2West Warwick, RI 02893-5458 · (401) 241-5660

Phone(401) 241-5660

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 30, 2024

Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1811721897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in RI · APRN04182

66 MAIN ST STE 202, South Kingstown, RI 02879

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Secondary Practice Location 1

Location 1460 Pine StProvidence, RI 02907-1358 · Phone (401) 272-0220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andria Duarte Pmhnp-bc 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 ID9335675511

PECOS Enrollment IDI20241211002310

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 Reassignments

Medicare enrollment records show Andria Duarte reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diversity Counseling LLC

24 mi

Addiction (Substance Use Disorder)

1020 PARK AVE
Cranston, RI 02910

Reassigned Medicare billing, Rhode Island enrollment
9 clinicians in this Medicare group

NPI 1033868930 (401) 396-7649

Chartercare Roger Williams Medical Center

27 mi

Internal Medicine

825 CHALKSTONE AVE
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
96 clinicians in this Medicare group

NPI 1649009507 (401) 456-2000

Prospect Chartercare Rwmc, LLC

27 mi

Internal Medicine

825 CHALKSTONE AVE
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
162 clinicians in this Medicare group

NPI 1285059287 (401) 456-2000

Supportive Care I Of Rhode Island PC

27 mi

Clinical

17 ADELPHI AVE
Providence, RI 02906

Reassigned Medicare billing, Rhode Island enrollment
95 clinicians in this Medicare group

NPI 1912666454 (718) 298-4375

Chartercare Our Lady Of Fatima Hospital

29 mi

Cardiovascular Disease

200 HIGH SERVICE AVE
North Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
69 clinicians in this Medicare group

NPI 1255160115 (401) 456-3000

Prospect Chartercare Sjhsri, LLC

29 mi

Internal Medicine

200 HIGH SERVICE AVE
North Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
110 clinicians in this Medicare group

NPI 1588089759 (401) 456-3000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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.

INNER BALANCE OF RI

Nurse Practitioner (Psychiatric/Mental Health)

66 MAIN ST STE 202
SOUTH KINGSTOWN, RI 02879

Washington County (401) 251-0024

MINDBRIDGE WELLNESS

Nurse Practitioner (Psychiatric/Mental Health)

66 MAIN ST STE 202
WAKEFIELD, RI 02879

Washington County (401) 240-4796

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 Andria Duarte's NPI number?

The NPI number for Andria Duarte is 1811721897. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Andria Duarte located?

Andria Duarte practices at 66 Main St Ste 202, South Kingstown, RI 02879. The listed phone number is (401) 241-5660.

What is Andria Duarte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andria Duarte enrolled in Medicare?

Yes. Andria Duarte 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.

Which organizations bill Medicare for Andria Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andria Duarte reassigns Medicare benefits to 6 organizations: Diversity Counseling LLC (Cranston, RI), Chartercare Roger Williams Medical Center (Providence, RI), Prospect Chartercare Rwmc, LLC (Providence, RI), Supportive Care I Of Rhode Island PC (Providence, RI), Chartercare Our Lady Of Fatima Hospital (North Providence, RI) and 1 more organization, listed in the Medicare section above. Each 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 Andria Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andria Duarte accept?

Health plans from WellSense Health Plan list Andria Duarte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andria Duarte was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.