Individual provider Active NPI

Jessica A Devine, FNP

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1013354430
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03207 Issued in RI
Practice address
171 Service Ave
BLDG 2, Floor 1
Warwick, RI 02886
Phone
(401) 430-2000
Fax
(401) 453-7597
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN03207 RI Primary

Addresses

Primary practice location

171 Service Ave
BLDG 2, Floor 1
Warwick, RI 02886

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

250 Centerville Rd Bldg E
Warwick, RI 02886-4400
Phone (401) 490-3838

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
I20220907001738 RI Practitioner - Nurse Practitioner 6103200357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN03207RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Brown Medicine Nurse Practitioner Current Accepting new patients
Brown Medicine Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Affinity Physicians LLC. CurrentSince Dec 1, 2024 Accepting new patients
Brown Medicine Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients

Locations

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

593 Eddy St
Providence, RI 02903

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

171 Service Ave
Fl 2
Warwick, RI 02886
Phone (401) 430-0985

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

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 8

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1013354430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SERVICE AVE",
            "address_2": "BLDG 2, FLOOR 1",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-430-2000",
            "fax_number": "401-453-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Centerville Rd Bldg E",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864400",
            "country_code": "US",
            "telephone_number": "401-490-3838",
            "fax_number": "401-490-3827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.