Individual provider Active NPI

Peter Wilkinson, APRN, NP-C

  • Family Nurse Practitioner
  • North Kingstown, RI
National Provider Identifier
1164893574
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN00759 Issued in RI
Practice address
308 Callahan Rd
North Kingstown, RI 02852-7739
Phone
(401) 295-9706
NPI assigned
Oct 12, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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 APRN00759 RI Primary

Addresses

Primary practice location

308 Callahan Rd
North Kingstown, RI 02852-7739

Mailing address

308 Callahan Rd
North Kingstown, RI 02852-7739

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
I20151202001356 RI Practitioner - Nurse Practitioner 4587964275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

37 S Broad St
Unit 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

45 E Ave
Westerly, RI 02891-3113
Phone (401) 637-4186

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN00759RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
South County Primary Care, Inc. CurrentSince Oct 7, 2017 Accepting new patients

Locations

360 Kingstown Rd
Narragansett, RI 02882
Phone (401) 789-1086

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

45 Wells St
Ste 201
Westerly, RI 02891
Phone (401) 637-7200

Interoperability endpoints

  • Direct secure messaging: pwilkinson406710@direct.ynhh.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1164893574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CALLAHAN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CALLAHAN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527739",
            "telephone_number": "401-295-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "PETER",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.