WELLONE PRIMARY MEDICAL AND DENTAL CARE
NPI 1821254525
Clinic/Center - Federally Qualified Health Center (FQHC) in Foster, RI
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 1821254525) is a healthcare organization registered as a federally qualified health center (fqhc) in Foster, Rhode Island and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Peter J Bancroft, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
39Medicare 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, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 39North Providence, RI 02904
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) 41D0082332
Northwest Community Health Care Dba Wellone Primary Medical And Dental Care · Foster, RIFrequently 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 1821254525. It was assigned to this organization in the NPPES registry on August 1, 2008. 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 142A Danielson Pike, Foster, RI 02825. The listed phone number is (401) 647-3702.
What is Northwest Community Health Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
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, 1 practice at this address and 2 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 41D0082332) is associated with this NPI, valid through August 31, 2028. 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.
# Wellone Primary Medical And Dental Care · NPI 1821254525
Federally Qualified Health Center (FQHC) organization in Foster, Rhode Island. Organization record, active in the CMS NPPES registry since August 1, 2008.
## Identity
- **NPI:** 1821254525 (Entity type: Organization)
- **Enumerated:** August 1, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northwest Community Health Care
- **Organization subpart:** No
- **Authorized official:** Peter Bancroft, PRESIDENT & CEO
## Practice location
- **Address:** 142A DANIELSON PIKE, Foster, RI 02825-1475
- **Phone:** (401) 647-3702 · **Fax:** (401) 647-5380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (5), Clinical Psychologist (4); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1821254525/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2011
- **Other identifiers:** Medicare PIN 411841 (RI); Medicaid NC50602 (RI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821254525) · Data from the CMS NPPES public registry.