Lisa Ellen Jacavone, RN/NP - Medicare Nurse Practitioner in Providence, RI

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Lisa Ellen Jacavone, RN/NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Providence, Rhode Island. Her current practice location is 830 Chalkstone Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 273-7100.

Lisa Ellen Jacavone is licensed to practice in Massachusetts (license number RN2274406) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801084751.

Contact Information

Lisa Ellen Jacavone, RN/NP
830 Chalkstone Ave,
Providence, RI 02908-4734
(401) 273-7100
(401) 459-4797

Map and Direction




Provider's Profile

Full NameLisa Ellen Jacavone
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location830 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801084751
  • Provider Enumeration Date: 10/04/2007
  • Last Update Date: 01/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547587859
  • Enrollment ID: I20230616001813

Medical Identifiers

Medical identifiers for Lisa Ellen Jacavone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801084751NPI-NPPES
APRN01777OtherRIADVANCED PRACTICE REGISTERED NURSE LICENSE
CNP2274406OtherMACERTIFIED NURSE PRACTITIONER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN36765 (Rhode Island)Secondary
363LA2100XNurse Practitioner - Acute Care NPP37867 (Rhode Island)Secondary
363LP2300XNurse Practitioner - Primary Care APRN01777 (Rhode Island)Secondary
363LA2100XNurse Practitioner - Acute Care RN2274406 (Massachusetts)Primary

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. Lisa Ellen Jacavone 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 AddressPractice Location Address
Lisa Ellen Jacavone, RN/NP
830 Chalkstone Ave,
Providence, RI 02908-4734

Ph: (401) 273-7100		Lisa Ellen Jacavone, RN/NP
830 Chalkstone Ave,
Providence, RI 02908-4734

Ph: (401) 273-7100

Reviews and Comments


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Beverly Casinelli, APRN
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Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP
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Medicare: Medicare Enrolled
Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908
Phone: 401-273-7100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.