Individual provider Active NPI

Beverly Casinelli, APRN

  • Adult Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1003452913
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN02214 Issued in RI
Practice address
765 Allens Ave
Providence, RI 02905-5443
Phone
(401) 606-4150
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN02214 RI Primary

Addresses

Primary practice location

765 Allens Ave
Providence, RI 02905-5443

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Providence

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228000898 RI Practitioner - Nurse Practitioner 0244667442 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rhode Island Wellness Clinic 4 clinicians

Practice addresses (Care Compare)

24 Salt Pond Rd
Suite B1
Wakefield, RI 02879-4323
Phone (516) 669-5701

Hospital & facility affiliations

  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN02214RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Rhode Island Wellness Clinic CurrentSince Oct 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Core Health Care LLC CurrentSince Dec 1, 2021 Accepting new patients
Core Clinicals LLC CurrentSince Jan 13, 2022 Accepting new patients

Locations

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

765 Allens Ave
Ste 110
Providence, RI 02905
Phone (401) 432-6800

765 Allens Ave
Providence, RI 02905
Phone (401) 490-8900

593 Eddy St
Providence, RI 02903

24 Salt Pond Rd
Ste B1
Wakefield, RI 02879
Phone (401) 642-4051

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1003452913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055443",
            "telephone_number": "401-606-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASINELLI",
        "first_name": "BEVERLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN02214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Providence",
            "affiliation": "N",
            "address_1": "765 Allens Ave",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029055443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.