SAMANTHA DIMEZZA STEWART FNP
NPI 1811876162
Nurse Practitioner - Family in East Providence, RI

Q: What is Samantha Dimezza Stewart's NPI number?

The NPI number for Samantha Dimezza Stewart is 1811876162. It was assigned to this individual provider in the NPPES registry on August 30, 2025.

Q: What is Samantha Dimezza Stewart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 30, 2025PECOS Enrolled

1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914(401) 457-1500 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Dimezza Stewart Fnp NPPES

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

SAMANTHA DIMEZZA STEWART FNP (NPI 1811876162) is an individual family provider in East Providence, Rhode Island, licensed in Rhode Island (APRN04770) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1811876162

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA DIMEZZA STEWARTCredential: FNP

Location Address1 KETTLE POINT AVEEast Providence, RI 02914-5375

Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375

Phone(401) 457-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 30, 2025

Last NPPES UpdateMay 19, 2026

NPPES CertifiedMay 19, 2026

✔ NPI 1811876162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in RI · APRN04770

1 KETTLE POINT AVE, East Providence, RI 02914

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Secondary Practice Locations 3

Location 1823 Main StHope Valley, RI 02832-1920 · Phone (401) 539-2461

Location 21598 S County TrlEast Greenwich, RI 02818-1762 · Phone (401) 457-1500

Location 32 Dudley St Ste 200Providence, RI 02905-3252 · Phone (401) 457-1500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Dimezza Stewart Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052891744

PECOS Enrollment IDI20260212002104

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 02914 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 20

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

BRAD D. BLANKENHORN M.D.

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