Individual provider Active NPI

Lissa Pierre, FNP-C

  • Family Nurse Practitioner
  • North Providence, RI
National Provider Identifier
1346013661
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03849 Issued in RI
Practice address
1630 Mineral Spring Ave Ste 2
North Providence, RI 02904-4043
Phone
(401) 438-1010
NPI assigned
Oct 31, 2023
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 APRN03849 RI Primary

Addresses

Primary practice location

1630 Mineral Spring Ave Ste 2
North Providence, RI 02904-4043

Mailing address

1630 Mineral Spring Ave Ste 2
North Providence, RI 02904-4043

Other practice location 1

126 Prospect St Ste 105
Pawtucket, RI 02860-4429
Phone (401) 753-2526

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
I20250205001749 RI Practitioner - Nurse Practitioner 4981134038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnorth Medical LLCGroup PAC ID 8628235652, 2 clinicians

Practice addresses (Care Compare)

1630 Mineral Spring Ave
Suite 2
N Providence, RI 02904-4043
Phone (401) 353-7330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PVD Cares Wellness Center LLC CurrentSince Feb 1, 2026 Accepting new patients
Wellnorth Medical LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1630 Mineral Spring Ave
Ste 2
North Providence, RI 02904
Phone (401) 353-7330

126 Prospect St
Ste 105
Pawtucket, RI 02860
Phone (401) 753-2526

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 2

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": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1346013661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MINERAL SPRING AVE STE 2",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MINERAL SPRING AVE STE 2",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044043",
            "telephone_number": "401-438-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Prospect St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604429",
            "country_code": "US",
            "telephone_number": "401-753-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "LISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.