Katelyn R Agnew, PMHNP-BC in Providence, RI - Medicare Nurse Practitioner

Katelyn R Agnew, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Providence, Rhode Island. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Affinity Physicians Llc. and her current practice location is 530 N Main St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 528-0123.

Katelyn R Agnew is licensed to practice in Rhode Island (license number APRN02327) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972122364.

Contact Information

	Katelyn R Agnew, PMHNP-BC
	530 N Main St, Providence, RI 02904-5762
	(401) 528-0123
	Not Available

Map and Direction

Provider's Profile

Full Name	Katelyn R Agnew
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	530 N Main St, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katelyn R Agnew graduated from nursing school in 2020

NPI Data:

NPI Number: 1972122364
Provider Enumeration Date: 04/15/2020
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6103247093
Enrollment ID: I20200601002681

Medical Identifiers

Medical identifiers for Katelyn R Agnew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972122364	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN02327 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Physicians Llc.	0244413391	616

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn R Agnew allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

Entity Name	Primary & Psychiatric Integrated Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508483694 PECOS PAC ID: 3072930064 Enrollment ID: O20200908000560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn R Agnew is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katelyn R Agnew, PMHNP-BC 530 N Main St, Providence, RI 02904-5762 Ph: () -	Katelyn R Agnew, PMHNP-BC 530 N Main St, Providence, RI 02904-5762 Ph: (401) 528-0123

Reviews and Comments

Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100

Katelyn R Agnew, PMHNP-BC - Medicare Nurse Practitioner in Providence, RI