Active NPI
Dena Lepre Ackroyd, PA- C
- Physician Assistant
- Cranston, RI
National Provider Identifier
1104031772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00743
- Practice address
- 1150 Reservoir Ave Ste 201
Cranston, RI 02920-6032 - Phone
- (401) 942-1300
- Fax
- (617) 224-1007
- NPI assigned
- May 14, 2007
- 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 | PA00743 | RI | Primary |
Addresses
Primary practice location
1150 Reservoir Ave Ste 201
Cranston, RI 02920-6032
Mailing address
362 Mount Vernon St
Dedham, MA 02026-3327
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140430000097 | RI | Practitioner - Physician Assistant | 3375776263 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27 Randolph Rd
Unit a
Howell, NJ 07731-8611
33 Staniford St
FL 2
Providence, RI 02905-3100
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.09 of 100
- Quality
- 73.07
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 73.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Gastroenterology, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Providence, RI
- NPI 1386952612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1104031772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 MOUNT VERNON ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020263327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 RESERVOIR AVE STE 201",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206032",
"telephone_number": "401-942-1300",
"fax_number": "617-224-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKROYD",
"first_name": "DENA",
"middle_name": "LEPRE",
"credential": "PA- C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.