Mr Matthew Richard James, FNP-BC - Medicare Nurse Practitioner in Providence, RI

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Mr Matthew Richard James, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Providence, Rhode Island. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Minuteclinic Diagnostic Of Rhode Island Llc and his current practice location is 799 Hope St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 331-5240.

Mr Matthew Richard James is licensed to practice in Rhode Island (license number APRN00688) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538548383.

Contact Information

Mr Matthew Richard James, FNP-BC
799 Hope St,
Providence, RI 02906-3635
(401) 331-5240
(401) 272-9732

Map and Direction




Provider's Profile

Full NameMr Matthew Richard James
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location799 Hope St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Matthew Richard James graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1538548383
  • Provider Enumeration Date: 05/27/2015
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436464757
  • Enrollment ID: I20150817000713

Medical Identifiers

Medical identifiers for Mr Matthew Richard James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538548383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN00688 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Rhode Island Llc822435086323

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. Mr Matthew Richard James allows following entities to bill medicare on his behalf.
Entity NameEast Side Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558531467
PECOS PAC ID: 9537239660
Enrollment ID: O20080602000597
Entity NameOcean State Urgent Care Center Of Smithfield Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447698675
PECOS PAC ID: 4688816135
Enrollment ID: O20130813000003
Entity NameMinuteclinic Diagnostic Of Rhode Island Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649511841
PECOS PAC ID: 8224350863
Enrollment ID: O20141209002236
Entity NameOcean State Urgent Care Center Of Coventry, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013302488
PECOS PAC ID: 8527388073
Enrollment ID: O20150522001553
Entity NameOcean State Urgent Care Center Of Warwick, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093239519
PECOS PAC ID: 8820361223
Enrollment ID: O20170907000061

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. Mr Matthew Richard James 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
Mr Matthew Richard James, FNP-BC
799 Hope St,
Providence, RI 02906-3635

Ph: (800) 389-2727		Mr Matthew Richard James, FNP-BC
799 Hope St,
Providence, RI 02906-3635

Ph: (401) 331-5240

Reviews and Comments


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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).

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