Mrs Nicole Marie Gardella, RNP in Providence, RI

Mrs Nicole Marie Gardella, RNP is a medicare enrolled "Nurse Practitioner" in Providence, Rhode Island. She went to Univ Of British Columbia Faculty Of Dentistry and graduated in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifespan Physician Group Inc and her current practice location is 909 N Main St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 273-4064.

Mrs Nicole Marie Gardella is licensed to practice in Rhode Island (license number APRN00256) 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 1639313810.

Contact Information

	Mrs Nicole Marie Gardella, RNP
	909 N Main St, Providence, RI 02904-5752
	(401) 273-4064
	(401) 273-1268

Map and Direction

Provider's Profile

Full Name	Mrs Nicole Marie Gardella
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	909 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:

Mrs Nicole Marie Gardella attended and graduated from Univ Of British Columbia Faculty Of Dentistry in 2008

NPI Data:

NPI Number: 1639313810
Provider Enumeration Date: 05/01/2009
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0143366138
Enrollment ID: I20091005000699

Medical Identifiers

Medical identifiers for Mrs Nicole Marie Gardella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639313810	NPI	-	NPPES
1639313810	Medicaid	RI
709004048	Other	RI	MEDICARE GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN00256 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespan Physician Group Inc	2567455082	634

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. Mrs Nicole Marie Gardella allows following entities to bill medicare on her behalf.

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

Entity Name	Rhode Island Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962844795 PECOS PAC ID: 8921900044 Enrollment ID: O20140213000388

Entity Name	Coastal Medical Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413

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. Mrs Nicole Marie Gardella 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
Mrs Nicole Marie Gardella, RNP Dept 3010, Po Box 986524, Boston, MA 02298-6524 Ph: (401) 443-4992	Mrs Nicole Marie Gardella, RNP 909 N Main St, Providence, RI 02904-5752 Ph: (401) 273-4064

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

Mrs Nicole Marie Gardella, RNP - Medicare Nurse Practitioner in Providence, RI