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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Jensy Stafford was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Hopehealth Hospice & Palliative Care

Same address

Case Management

1085 N MAIN ST
Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
62 clinicians in this Medicare group

NPI 1790851590 (401) 415-4230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. SARAH PAGLIARINI NP

Nurse Practitioner (Family)