Mofoluso O Agbelese, DNP
Individual provider Active NPI Family Nurse Practitioner · Providence, RI
NPI 1194178558 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1194178558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN01357 (RI)
- Practice address
- 239 Cranston St
Providence, RI 02907-2406 - Phone
- (401) 444-0580
- Fax
- (401) 444-0428
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Providence Community Health Centers Inc.
Practice addresses (Care Compare)
239 Cranston St
Providence, RI 02907-2406
Phone (401) 444-0580
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160930000866 | RI | Practitioner - Nurse Practitioner | 3779870076 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackstone Valley Community Health Care, Inc. | Current |
Accepting new patients | |
| Rapha Behavioral Health, LLC | Current | Accepting new patients | |
| The Providence Community Health Centers, Inc | Current |
Accepting new patients | |
| The Providence Community Health Centers Inc. | Past | Accepting new patients | |
| Blackstone Valley Community Health Care, Inc. | Past |
Accepting new patients |
Locations
1000 Broad St
Central Falls, RI 02863
Phone (401) 722-0081
9 Chestnut St
Central Falls, RI 02863
Phone (401) 722-0081
984 Charles St
North Providence, RI 02904
Phone (401) 935-1804
39 East Ave
Pawtucket, RI 02860
Phone (401) 722-0081
239 Cranston St
Providence, RI 02907
Phone (401) 444-0580
375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN01357 | RI | Yes |
Addresses
Primary practice location
239 Cranston St
Providence, RI 02907-2406
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Other practice location 1
984 Charles St
North Providence, RI 02904-5054
Phone (401) 935-1804 ext. 51804
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mofoluso.agbelese@providencechc.directbygreenway.com |
Other providers in Providence, RI
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- Ankita Aggarwal
- Rahul Aggarwal
- Suchit K Aggarwal
- Aliia Agliullina
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All providers in Providence, RI · Family Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.