Individual provider Active NPI

Bethany Bussey

  • Physician Assistant
  • Warwick, RI
National Provider Identifier
1083554406
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01915 Issued in RI
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

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.