Nancy M Botelho, NP
Individual provider Active NPI Family Nurse Practitioner · Providence, RI
NPI 1346214293 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1346214293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN00245 (RI)
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 453-7953
- Fax
- (401) 453-7790
- NPI assigned
- Feb 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
455 Toll Gate Rd
PRC Credentialing
Warwick, RI 02886-2759
Hospital & facility affiliations
- Women & Infants Hospital of Rhode Island
- Kent County Memorial Hospital
- The Miriam Hospital
- South County Hospital Inc
- Rhode Island Hospital
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 |
|---|---|---|---|---|
| I20040721001045 | RI | Practitioner - Nurse Practitioner | 7416937446 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN00245 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Current |
Accepting new patients | |
| Affinity Physicians LLC | Current |
Accepting new patients | |
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients | |
| University Gastroenterology, LLC | Past | Accepting new patients | |
| Bayside Endoscopy Center, LLC | Past | Accepting new patients |
Locations
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- nbotelho@direct.carene.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN00245 | RI | Yes |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
PO Box 202230
Providence, RI 02905-3105
Phone (401) 421-8800
Other practice location 1
33 Staniford St Fl 1
Providence, RI 02905-3100
Phone (401) 421-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412985 | Other | RI | BLUE CHIP |
| 709004159 | Other | RI | MEDICARE GROUP |
| 050483739 | Other | RI | GREAT WEST HEALTH CARE |
| 29978-3 | Other | RI | BCBS OF RI |
| 9003486 | Medicaid | RI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbotelho@direct.carene.org | Health Information Exchange (HIE) |
Other providers in Providence, RI
- Sai Aishwarya Bosula
- Boswell, Inc.
- Carol Louise Botelho
- Charlene Beth Botelho
- Kristi Ann Botelho
- Catherine Bothe
- Haylie Botts
- Jeremy M Boucher
- Robert Anthony Bouffard
- Brianna Leigh Boulanger
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 Apr 17, 2026. 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.