Individual provider Active NPI

Kerri Ellen Costa, MSN, APRN, CNP

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1063159002
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03098 Issued in RI
Practice address
455 Toll Gate Rd
Asp BLDG
Warwick, RI 02886-2770
Phone
(016) 814-9964
Fax
(401) 921-6569
NPI assigned
May 19, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 APRN03098 RI Primary

Addresses

Primary practice location

455 Toll Gate Rd
Asp BLDG
Warwick, RI 02886-2770

Mailing address

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

Other practice location 1

345 Blackstone Blvd
Bldg 100
Providence, RI 02906
Phone (401) 681-4996

Other practice location 2

111 Brewster Street
Pawtucket, RI 02860
Phone (401) 681-4996

Other practice location 3

1405 South County Trail
Suite 1B
East Greenwich, RI 02818
Phone (401) 921-5411

Other practice location 4

2191 Post Road
Warwick, RI 02886
Phone (401) 732-3066

Other practice location 5

101 Plain Street
4th Floor
Providence, RI 02903
Phone (401) 681-4996

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kecosta@kent.cernerdirect.carene.org Direct

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
I20220817002871 RI Practitioner - Nurse Practitioner 4284017666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Oct 1, 2022 Accepting new patients
Affinity Physicians LLC. CurrentSince Oct 1, 2022 Accepting new patients

Locations

345 Blackstone Blvd
Bldg 100
Providence, RI 02906
Phone (401) 681-4996

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

Interoperability endpoints

  • Direct secure messaging: kecosta@direct.carene.org

Organizations & group practices 2

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

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1063159002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "PRC AND CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "ASP BLDG",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862770",
            "telephone_number": "016-814-9964",
            "fax_number": "401-921-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Blackstone Blvd",
            "address_2": "Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02906",
            "country_code": "US",
            "telephone_number": "401-681-4996",
            "fax_number": "401-921-6569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Brewster Street",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "02860",
            "country_code": "US",
            "telephone_number": "401-681-4996",
            "fax_number": "401-921-6569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 South County Trail",
            "address_2": "Suite 1B",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "02818",
            "country_code": "US",
            "telephone_number": "401-921-5411",
            "fax_number": "401-889-5082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2191 Post Road",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "02886",
            "country_code": "US",
            "telephone_number": "401-732-3066",
            "fax_number": "401-732-3094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Plain Street",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02903",
            "country_code": "US",
            "telephone_number": "401-681-4996",
            "fax_number": "401-921-6569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "KERRI",
        "middle_name": "ELLEN",
        "credential": "MSN, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kecosta@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "455 Toll Gate Rd",
            "address_2": "ASP Bldg",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028862770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.