Individual provider Active NPI

Natalie A. Fealy, NP

  • Adult Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1043049463
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN04241 Issued in RI
Practice address
1 Warren Way
Providence, RI 02905-5000
Phone
(401) 444-0530
Fax
(401) 444-0423
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN236826 MA
Adult Health Nurse Practitioner 363LA2200X APRN04241 RI Primary

Addresses

Primary practice location

1 Warren Way
Providence, RI 02905-5000

Mailing address

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241204000064 MA Practitioner - Nurse Practitioner 8628504446 Reassigns benefits to 2 organizations
I20260507000264 RI Practitioner - Nurse Practitioner 8628504446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Providence Community Health Centers Inc.Group PAC ID 9335050962, 90 clinicians
Manet Community Health Center, Inc.Group PAC ID 4486555158, 52 clinicians

Practice addresses (Care Compare)

1 Warren Way
Providence, RI 02905-5000
Phone (401) 444-0530

110 W Squantum St
Quincy, MA 02171-2122
Phone (617) 376-3000

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN04241RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest M PLLC CurrentSince Oct 5, 2025 Accepting new patients
Theoria Medical CurrentSince Jul 27, 2025 Accepting new patients
Manet Community Health Center, Inc. Past Accepting new patients

Locations

61 Cooper St
Agawam, MA 01001
Phone (413) 294-6800

464 Main St
Agawam, MA 01001
Phone (413) 333-2200

400 Groton Rd
Ayer, MA 01432
Phone (508) 772-1704

76 North St
Middleboro, MA 02346
Phone (508) 947-4774

146 Dean St
Taunton, MA 02780
Phone (508) 823-0767

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1043049463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARREN WAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055000",
            "telephone_number": "401-444-0530",
            "fax_number": "401-444-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEALY",
        "first_name": "NATALIE",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN236826",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN04241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.