James Anthony Mastrostefano, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Newport, RI
NPI 1083384036 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1083384036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN02825 (RI)
- Practice address
- 50 Memorial Blvd
Newport, RI 02840-3636 - Phone
- (401) 606-4510
- Fax
- (401) 619-4784
- NPI assigned
- Sep 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Marymount University, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Coastal Medical Physicians Inc
Practice addresses (Care Compare)
20 Southwest Ave
Jamestown, RI 02835-1120
Phone (401) 423-2616
Hospital & facility affiliations
- Visiting Nurse Home and Hospice
- South County Home Health
- Newport Hospital
- The Miriam Hospital
- South County Hospital Inc
- Rhode Island Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211229001069 | RI | Practitioner - Nurse Practitioner | 3577954502 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1047330 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Family | Current |
Accepting new patients |
| Lifespan Physician Group, Inc. | Family | Current |
Accepting new patients |
| Coastal Medical Physicians, Inc. | Current |
Accepting new patients | |
| Coastal Medical, Inc. | Past | Accepting new patients |
Locations
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
20 Southwest Ave
Jamestown, RI 02835
Phone (401) 423-2616
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Interoperability endpoints
- jmastrostefano162741@brownhealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN02825 | RI | Yes |
| Registered Nurse | 163W00000X | RN1047330 | RI |
Addresses
Primary practice location
50 Memorial Blvd
Newport, RI 02840-3636
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other providers in Newport, RI
- Mark Appleman, MD
- Laureen J. Martin
- Lauren Martin
- William Henry Martland
- Jennifer Massip
- Ashley Maucione
- Maxmath Tutoring Online Inc Rhode Island Branch
- Bryan S May
- Donald James McAllister
- John Thomas McCaffrey
All providers in Newport, RI · Family Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.