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KILEY ELIZABETH FAIR AGACNP
NPI 1841832235
Nurse Practitioner - Gerontology in Providence, RI

Active since October 17, 2019PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-3565(401) 444-5493 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2022, Nov 14, 2019, Oct 17, 2019 (3 updates tracked since 2019).

About Kiley Elizabeth Fair Agacnp NPPES

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

KILEY ELIZABETH FAIR AGACNP (NPI 1841832235) is an individual gerontology provider in Providence, Rhode Island, licensed in Rhode Island (APRN02024) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1841832235
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKILEY ELIZABETH FAIRCredential: AGACNP
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address110 Elm StProvidence, RI 02903-4626 · (401) 443-4992 · Fax (401) 537-7241
Phone(401) 444-3565
Fax(401) 444-5493
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 17, 2019
Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1841832235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in RI · APRN02024
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN02024 (RI)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN02024 (RI)
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7000 ext. 35132

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiley Elizabeth Fair Agacnp 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 ID2668807850
PECOS Enrollment IDI20200116000518
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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.

DR. CHANDAN LAKHIANI MD
Pediatrics
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Providence County (401) 444-4691
RACHEL ALLISON ALTURA MD
Pediatrics (Pediatric Hematology-Oncology)
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Providence County (401) 444-5241
MOHAMMED FAIZAN M.D.
Pediatrics (Pediatric Nephrology)
593 EDDY ST, HASBRO 122
PROVIDENCE, RI 02903
Providence County (401) 444-6195
DR. SUSAN L. PLANTE PHARM.D.
Pharmacist (Pharmacotherapy)
593 EDDY ST, PHARMACY SERVICES
PROVIDENCE, RI 02903
Providence County (401) 444-9075
ZHANHONG MI CNP
Nurse Practitioner
593 EDDY ST, APC 456
PROVIDENCE, RI 02903
Providence County (401) 444-5545
KEITH B SUNDERLIN PAC
Physician Assistant
593 EDDY ST, APC 4
PROVIDENCE, RI 02903
Providence County (401) 444-4000
DR. MARK E. MATTINGLY M.D.
Internal Medicine
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-3985
MS. JO-ANN BERGERON POLSKY BS, MPH, RD
Nutritionist
593 EDDY ST, RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903
Providence County (401) 444-4422

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 Kiley Fair's NPI number?

The NPI number for Kiley Fair is 1841832235. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Kiley Fair located?

Kiley Fair practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-3565.

What is Kiley Fair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kiley Fair enrolled in Medicare?

Yes. Kiley Fair 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.

Is Kiley Fair affiliated with any hospitals?

According to CMS data, Kiley Fair is affiliated with Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kiley Fair was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.