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AUDREY CMK TIN PA-C
NPI 1861244170
Physician Assistant in Lincoln, RI

Active since April 02, 2024PECOS Enrolled
132 OLD RIVER RD., SUITE 108, LINCOLN, RI 02865(401) 723-9250(814) 339-6165 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Audrey Cmk Tin Pa-c NPPES

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

AUDREY CMK TIN PA-C (NPI 1861244170) is an individual physician assistant in Lincoln, Rhode Island, licensed in Rhode Island (PA01729) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861244170
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUDREY CMK TINCredential: PA-C
Location Address132 OLD RIVER RD., SUITE 108Lincoln, RI 02865-1397
Mailing Address132 Old River Rd., Suite 108Lincoln, RI 02865-1397 · (401) 723-9250 · Fax (814) 339-6165
Phone(401) 723-9250
Fax(814) 339-6165
Sole ProprietorNo
Enumeration DateApril 2, 2024
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1861244170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01729
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
132 OLD RIVER RD., Lincoln, RI 02865
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Other Identifiers 1

Medicaid1861244170RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Cmk Tin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02865 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
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 7

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

ERIN HOUGH AGNP-BC
Nurse Practitioner (Adult Health)
132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865
Providence County (401) 723-9250
CAITLYN ANN BRAGA FNP-C
Nurse Practitioner
132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865
Providence County (401) 723-9250
ASHLEY DUGGAN FNP-C
Nurse Practitioner (Family)
132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865
Providence County (401) 723-9250
JILLIAN LEE BIELLO PA-C
Physician Assistant
132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865
Providence County (401) 723-9250
FATIMA HSISSOU FNP-C
Nurse Practitioner (Family)
132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865
Providence County (401) 723-9250
KATHLEEN L. KNOWLTON GNP-BS
Nurse Practitioner (Primary Care)
132 OLD RIVER RD., STE 108
LINCOLN, RI 02865
Providence County (401) 723-9250
HALEE JOYCE PELOSO PA-C
Physician Assistant
132 OLD RIVER RD., STE 108
LINCOLN, RI 02865
Providence County (401) 723-9250

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 Audrey Tin's NPI number?

The NPI number for Audrey Tin is 1861244170. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Audrey Tin located?

Audrey Tin practices at 132 Old River Rd. Suite 108, Lincoln, RI 02865. The listed phone number is (401) 723-9250.

What is Audrey Tin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Audrey Tin enrolled in Medicare?

Yes. Audrey Tin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Tin was last updated on October 14, 2025. 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.