Gina D'Aguanno, APRN, PMHNP-BC

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · North Kingstown, RI

NPI 1083283196 · NPPES record last updated Mar 28, 2023

Key facts

NPI
1083283196
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
APRN03021 (RI)
Practice address
420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638
Phone
(401) 268-5333
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South County Psychiatry LLC (28 clinicians)

Practice addresses (Care Compare)

420 Scrabbletown Rd
Suite a
North Kingstown, RI 02852-3638
Phone (401) 268-5333

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in RI, MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220503000071 RI Practitioner - Nurse Practitioner 8628465127 Reassigns benefits to 1 organization
I20220503001893 MA Practitioner - Nurse Practitioner 8628465127 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
RN35031RIMDRegistered Nurse
RN227184MAMDPsychiatric/Mental Health Nurse Practitioner
APRN03021RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC Current
since May 20, 2022
Accepting new patients

Locations

52 Brigham St
Ste 5
New Bedford, MA 02740
Phone (508) 993-8332

420 Scrabbletown Rd
Ste A
North Kingstown, RI 02852
Phone (401) 268-5333

47 Danielson Pike
North Scituate, RI 02857
Phone (401) 258-5419

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN35031 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN227184 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03021 RI Yes

Addresses

Primary practice location

420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638

Mailing address

47 Danielson Pike
North Scituate, RI 02857-1892

Other providers in North Kingstown, RI

All providers in North Kingstown, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island

Sources for this page

Verify at the official NPI Registry.