Active NPI
Bethany Bussey
- Physician Assistant
- Warwick, RI
National Provider Identifier
1083554406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01915
- Practice address
- 300 Crossings Blvd
Warwick, RI 02886-2878 - Phone
- (401) 777-7000
- NPI assigned
- Mar 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01915 | RI | Primary |
Addresses
Primary practice location
300 Crossings Blvd
Warwick, RI 02886-2878
Mailing address
200 Crossings Blvd Ste 310
Warwick, RI 02886-2872
Phone (401) 777-7000
Other practice location 1
285 Promenade St
Providence, RI 02908-5794
Phone (401) 777-7000
Other practice location 2
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000
Other practice location 3
268 Post Rd
Westerly, RI 02891-6600
Phone (401) 777-7000
Other practice location 4
70 Kenyon Ave Ste 100
Wakefield, RI 02879-4253
Phone (401) 777-7000
Other practice location 5
1 Corporate Pl
Middletown, RI 02842-6406
Phone (401) 777-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Crossings Blvd
Suite 310
Warwick, RI 02886-2872
2372 Sweet Home Rd
Suite 3
Amherst, NY 14228-2330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1083554406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CROSSINGS BLVD STE 310",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862872",
"telephone_number": "401-777-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CROSSINGS BLVD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862878",
"telephone_number": "401-777-7000"
}
],
"practiceLocations": [
{
"address_1": "285 Promenade St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029085794",
"country_code": "US",
"telephone_number": "401-777-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Kenyon Ave",
"address_purpose": "LOCATION",
"city": "Wakefield",
"state": "RI",
"postal_code": "028794216",
"country_code": "US",
"telephone_number": "401-782-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "268 Post Rd",
"address_purpose": "LOCATION",
"city": "Westerly",
"state": "RI",
"postal_code": "028916600",
"country_code": "US",
"telephone_number": "401-777-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 Kenyon Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Wakefield",
"state": "RI",
"postal_code": "028794253",
"country_code": "US",
"telephone_number": "401-777-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Corporate Pl",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "RI",
"postal_code": "028426406",
"country_code": "US",
"telephone_number": "401-777-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSSEY",
"first_name": "BETHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-30",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.