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JESSICA ANN PINEDA M.D.
NPI 1831416312
Family Medicine in Cranston, RI

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
75 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI 02920(401) 736-4500(401) 459-0231 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Ann Pineda M.d. NPPES

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

JESSICA ANN PINEDA M.D. (NPI 1831416312) is an individual family medicine provider in Cranston, Rhode Island, licensed in Rhode Island (MD15021) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1831416312
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA ANN PINEDACredential: M.D.
Location Address75 SOCKANOSSET CROSS RD STE 100Cranston, RI 02920-5558
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 736-4500
Fax(401) 459-0231
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2010
Enumeration DateApril 23, 2010
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1831416312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · MD15021
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD15021 (RI)
75 SOCKANOSSET CROSS RD STE 100, Cranston, RI 02920
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1111 Brewster StPawtucket, RI 02860-4400 · Phone (401) 729-2304 · Fax (401) 729-2923
Location 22 Dudley St Ste 560Providence, RI 02905-3230 · Phone (401) 453-7955 · Fax (401) 453-7720
Location 3118 Dudley St Ste 22Providence, RI 02905-2403 · Phone (401) 459-0230 · Fax (401) 459-0231

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Jessica Ann Pineda M.d. 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 ID2668610031
PECOS Enrollment IDI20150826000803
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 Reassignment

Medicare enrollment records show Jessica Pineda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC.
3.5 mi
Internal Medicine
455 TOLL GATE RD
Warwick, RI 02886
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1184944662 (401) 737-7010

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services12 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
12 services11 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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 4

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

KATHLEEN RICCI PA
Physician Assistant
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 946-6200
BRENDAN T SCANLON PA
Physician Assistant
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 946-6200
DOUGLAS L BLECKER MD
Internal Medicine
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 736-4500
ELENA BURNS APRN
Nurse Practitioner (Family)
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 736-4500

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 Jessica Pineda's NPI number?

The NPI number for Jessica Pineda is 1831416312. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Jessica Pineda located?

Jessica Pineda practices at 75 Sockanosset Cross Rd Ste 100, Cranston, RI 02920. The listed phone number is (401) 736-4500.

What is Jessica Pineda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica Pineda enrolled in Medicare?

Yes. Jessica Pineda 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 organization bills Medicare for Jessica Pineda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Pineda reassigns Medicare benefits to Affinity Physicians LLC. (Warwick, RI). The 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 Jessica Pineda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Pineda accept?

Health plans from Harvard Pilgrim Health Care list Jessica Pineda 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.

Is Jessica Pineda affiliated with any hospitals?

According to CMS data, Jessica Pineda is affiliated with Kent County Memorial Hospital and Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Jessica Pineda was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.