Individual provider Active NPI

Mellissa Gosset, FNP-BC

  • Family Nurse Practitioner
  • Pawtucket, RI
National Provider Identifier
1164052478
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02167 Issued in RI
Practice address
333 School St # 112
Pawtucket, RI 02860-5334
Phone
(401) 726-9790
NPI assigned
Jan 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN02167 RI Primary

Addresses

Primary practice location

333 School St # 112
Pawtucket, RI 02860-5334

Mailing address

13 Aquidneck Ave
Portsmouth, RI 02871-4303
Phone (401) 499-7760

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014003481 RI Practitioner - Nurse Practitioner 5496175309 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthadvisors LLCGroup PAC ID 8325486244, 13 clinicians

Practice addresses (Care Compare)

333 School St
Suite 112B
Pawtucket, RI 02860-5336
Phone (401) 250-0112

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Rhode Island PLLC CurrentSince Aug 10, 2020 Accepting new patients
Healthadvisors LLC CurrentSince Apr 21, 2024 Accepting new patients
VMD Primary Providers of Rhode Island PC CurrentSince Dec 1, 2021 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197

6 Blackstone Valley Pl
Ste 502
Lincoln, RI 02865
Phone (401) 334-6250

333 School St
Ste 112
Pawtucket, RI 02860
Phone (401) 723-1210

333 School St
Ste 112B
Pawtucket, RI 02860
Phone (401) 250-0112

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

Interoperability endpoints

  • Direct secure messaging: mellissa.gosset.1@30907.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1164052478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 AQUIDNECK AVE",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714303",
            "telephone_number": "401-499-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST # 112",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605334",
            "telephone_number": "401-726-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSET",
        "first_name": "MELLISSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.