Ms Kelley Anne Nelligan, RN, MSN, CPNP in Riverside, RI

Ms Kelley Anne Nelligan, RN, MSN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Riverside, Rhode Island. Her current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 432-1325.

Ms Kelley Anne Nelligan is licensed to practice in Rhode Island (license number APRN01484) 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 1053430702.

Contact Information

	Ms Kelley Anne Nelligan, RN, MSN, CPNP
	1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
	(401) 432-1325
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kelley Anne Nelligan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053430702
Provider Enumeration Date: 03/27/2007
Last Update Date: 12/05/2018

Medicare PECOS Information:

PECOS PAC ID: 8224390059
Enrollment ID: I20180315000206

Medical Identifiers

Medical identifiers for Ms Kelley Anne Nelligan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053430702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	262959 (Massachusetts)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	APRN01484 (Rhode Island)	Primary

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. Ms Kelley Anne Nelligan allows following entities to bill medicare on her behalf.

Entity Name	Emma Pendleton Bradley Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089

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. Ms Kelley Anne Nelligan 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
Ms Kelley Anne Nelligan, RN, MSN, CPNP 117 Ellenfield St Ste 101, Providence, RI 02905-4513 Ph: (401) 444-6779	Ms Kelley Anne Nelligan, RN, MSN, CPNP 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 Ph: (401) 432-1325

Reviews and Comments

Nurse Practitioner Nurses in Riverside, RI

Penny Marie Mclean-nowinski, MSN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1445 Wampanoag Trl Unit 205, Riverside, RI 02915 Phone: 401-434-0730 Fax: 401-270-3439
Mrs. Shannon Fultz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Myrtle Ave, Riverside, RI 02915 Phone: 603-765-1431
Donna Marie Rondeau-marzullo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Suite 102, Riverside, RI 02915 Phone: 401-649-4010 Fax: 401-649-4011
Patricia Schneider, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Wampanoag Trl, Riverside, RI 02915 Phone: 401-785-6164
Miss Paula Holmes Constantine, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Wampanoag Trl Ste 102, Riverside, RI 02915 Phone: 401-649-4010 Fax: 401-649-4011
Gabrielle Hermes Burke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031

Ms Kelley Anne Nelligan, RN, MSN, CPNP - Medicare Nurse Practitioner in Riverside, RI