MR. SEAN P. TOOMEY NP
NPI 1962100362
Nurse Practitioner in Providence, RI

Active since February 16, 2023PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST, COOP 1, PROVIDENCE, RI 02905(401) 444-4000 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2025, Feb 16, 2023 (2 updates tracked since 2023).

About Mr. Sean P. Toomey Np NPPES

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

MR. SEAN P. TOOMEY NP (NPI 1962100362) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN03460) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962100362
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. SEAN P. TOOMEYCredential: NP
Location Address2 DUDLEY ST, COOP 1Providence, RI 02905-3236
Mailing Address725 Gibson Hill RdGreene, RI 02827-1924 · (401) 338-1323
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 16, 2023
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1962100362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · APRN03460
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN57276 (RI)
2 DUDLEY ST, Providence, RI 02905

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

Mr. Sean P. Toomey Np 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 ID2163955808
PECOS Enrollment IDI20241101002115
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 Reassignments

4

Medicare enrollment records show Sean Toomey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 358 clinicians in this Medicare group
Internal Medicine
1681 CRANSTON ST
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 65 clinicians in this Medicare group
Internal Medicine
1681 CRANSTON ST
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 146 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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.

Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Student in an Organized Health Care Education/Training Program
2 DUDLEY ST
PROVIDENCE, RI 02905
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2 DUDLEY ST
PROVIDENCE, RI 02905
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Nurse Practitioner (Adult Health)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Nurse Practitioner
2 DUDLEY ST
PROVIDENCE, RI 02905
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

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 Sean Toomey's NPI number?

The NPI number for Sean Toomey is 1962100362. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Sean Toomey located?

Sean Toomey practices at 2 Dudley St Coop 1, Providence, RI 02905. The listed phone number is (401) 444-4000.

What is Sean Toomey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sean Toomey enrolled in Medicare?

Yes. Sean Toomey 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 organizations bill Medicare for Sean Toomey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Toomey reassigns Medicare benefits to 4 organizations: Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI), Chartercare Physicians, LLC (Cranston, RI) and Prospect Chartercare Physicians, LLC (Cranston, RI). Each 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 Sean Toomey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Toomey affiliated with any hospitals?

According to CMS data, Sean Toomey is affiliated with Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Sean Toomey was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.