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JENSY PULIKAMALIL STAFFORD MD
NPI 1922261353
Family Medicine - Hospice and Palliative Medicine in Providence, RI

Active since July 07, 2008PECOS Enrolled
1085 N MAIN ST, PROVIDENCE, RI 02904(401) 415-4242(401) 312-2356 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jensy Pulikamalil Stafford Md NPPES

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

JENSY PULIKAMALIL STAFFORD MD (NPI 1922261353) is an individual hospice and palliative medicine provider in Providence, Rhode Island, licensed in Rhode Island (13939) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922261353
Entity TypeIndividualFemale
Primary Taxonomy207QH0002X
Provider Legal NameJENSY PULIKAMALIL STAFFORDCredential: MD
Location Address1085 N MAIN STProvidence, RI 02904-5719
Mailing Address1085 N Main StProvidence, RI 02904-5719
Phone(401) 415-4242
Fax(401) 312-2356
Sole ProprietorNo
Enumeration DateJuly 7, 2008
Last NPPES UpdateJuly 13, 2012
✔ NPI 1922261353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in RI · 13939
Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 246929 (MA)
1085 N MAIN ST, Providence, RI 02904
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Other Names 1

Former Name (1)Jensy Pulikamalil Jacob Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jensy Pulikamalil Stafford Md 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 02904 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.

MS. BARBARA DUFFY EVANS GNP
Nurse Practitioner (Gerontology)
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 415-4212
DR. MERCEDES PACHECO MD
Internal Medicine (Hospice and Palliative Medicine)
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 415-4200
MRS. SANDRA MARIA PERROTTA FNP-C
Nurse Practitioner (Family)
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 514-4200
JOAN L JOSEPH LICSW
Social Worker (Clinical)
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 365-5995
BRIAN BERGER LICSW
Social Worker (Clinical)
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 415-4556
MS. AUDRA A NOONAN APRN CNP
Nurse Practitioner
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 415-4618
KEITH ROBERT COHEN M.D.
Internal Medicine (Hospice and Palliative Medicine)
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 412-4200
HOPEHEALTH HOSPICE & PALLIATIVE CARE
Hospice Care, Community Based
1085 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 415-4230

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 Jensy Stafford's NPI number?

The NPI number for Jensy Stafford is 1922261353. It was assigned to this individual provider in the NPPES registry on July 7, 2008. The provider is also known as Jensy Pulikamalil Jacob MD.

Where is Jensy Stafford located?

Jensy Stafford practices at 1085 N Main St, Providence, RI 02904. The listed phone number is (401) 415-4242.

What is Jensy Stafford's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Jensy Stafford enrolled in Medicare?

Yes. Jensy Stafford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jensy Stafford was last updated on July 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.