Individual provider Active NPI

Paige Alexis Vetrano, PA-C

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1326712266
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01393 Issued in RI
Practice address
180 Corliss St Ste B
Providence, RI 02904-2602
Phone
(401) 793-8400
Fax
(401) 793-8402
NPI assigned
Aug 4, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5338 CT
Physician Assistant 363A00000X PA01393 RI Primary

Addresses

Primary practice location

180 Corliss St Ste B
Providence, RI 02904-2602

Mailing address

180 Corliss St Ste B
Providence, RI 02904-2602
Phone (401) 793-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paige.vetrano.1@10.direct.athenahealth.com

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
I20211011001884 RI Practitioner - Physician Assistant 8527466218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pamela J. Connors, MD, PCGroup PAC ID 3870746944, 2 clinicians

Practice addresses (Care Compare)

80 Beach St
Westerly, RI 02891-2798
Phone 4013487010202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5338CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Medical Associates CurrentSince Oct 4, 2021 Accepting new patients
Pamela J Connors, MD, PC CurrentSince Sep 2, 2025 Accepting new patients

Locations

1 Commerce St
Ste 100
Lincoln, RI 02865
Phone (401) 793-8444

180 Corliss St
Ste B
Providence, RI 02904
Phone (401) 793-8400

80 Beach St
Westerly, RI 02891
Phone (401) 348-7010

Interoperability endpoints

  • Direct secure messaging: paige.vetrano.1@10.direct.athenahealth.com

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 3

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1326712266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CORLISS ST STE B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042602",
            "telephone_number": "401-793-8400",
            "fax_number": "401-793-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CORLISS ST STE B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042602",
            "telephone_number": "401-793-8400",
            "fax_number": "401-793-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETRANO",
        "first_name": "PAIGE",
        "middle_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5338",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paige.vetrano.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "180 Corliss St Ste B",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029042602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.