Individual provider Active NPI

Jackeline Paola Ramos, NP

  • Family Nurse Practitioner
  • Cranston, RI
National Provider Identifier
1073196481
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02642 Issued in RI
Practice address
2220 Plainfield Pike
Cranston, RI 02921-2031
Phone
(401) 585-8500
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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 APRN02642 RI Primary

Addresses

Primary practice location

2220 Plainfield Pike
Cranston, RI 02921-2031

Mailing address

16 La Fazia Dr
Johnston, RI 02919-6327

Other names 1

  • Jackeline Paola Chacon Former name

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
I20211015002516 RI Practitioner - Nurse Practitioner 9830597137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atmed Treatment Center, Inc.Group PAC ID 4587655543, 11 clinicians
Snow Family Medicine, LLCGroup PAC ID 4284969643, 5 clinicians
Carewell Urgent Care of Rhode Island PCGroup PAC ID 5799937470, 9 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 122
Johnston, RI 02919-3228
Phone (401) 273-9400

2220 Plainfield Pike
Cranston, RI 02921-2031
Phone (401) 585-8500

535 Centerville Rd
Suite 102
Warwick, RI 02886-4376
Phone (401) 773-7220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Snow Family Medicine, LLC Family CurrentSince Jul 1, 2022 Accepting new patients
Carewell Urgent Care of Rhode Island, P.C. CurrentSince Feb 15, 2026 Accepting new patients
Atmed Treatment Center, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Snow Family Wellness Family PastSince Nov 30, 2025 Accepting new patients

Locations

2220 Plainfield Pike
Cranston, RI 02921
Phone (401) 383-3400

1524 Atwood Ave
Ste 122
Johnston, RI 02919
Phone (401) 273-9400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1073196481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LA FAZIA DR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029196327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 PLAINFIELD PIKE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029212031",
            "telephone_number": "401-585-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JACKELINE",
        "middle_name": "PAOLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-11-24",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKELINE",
            "last_name": "CHACON",
            "middle_name": "PAOLA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.