Individual provider Active NPI

Carolee Vancouyghen Nevulis, FNP-C

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1457096273
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03149 Issued in RI
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2770
Phone
(401) 737-7000
NPI assigned
May 5, 2022
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 APRN03149 RI Primary

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2770

Mailing address

30 Beecher St Apt 321
Pawtucket, RI 02860-1887
Phone (401) 523-9311

Other practice location 1

194 Waterman St
Providence, RI 02906-4015
Phone (401) 300-5010

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
I20220809003032 RI Practitioner - Nurse Practitioner 5890177760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4275

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince Jan 10, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. Nurse Practitioner Current Accepting new patients
Silver Spring Health Care Management, Inc Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Jan 10, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Hopehealth Hospice & Palliative Care Past Accepting new patients

Locations

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

85 Kenyon Ave
Wakefield, RI 02879
Phone (401) 783-6670

Organizations & group practices 6

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 1

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1457096273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BEECHER ST APT 321",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601887",
            "telephone_number": "401-523-9311",
            "fax_number": "401-340-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862770",
            "telephone_number": "401-737-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Waterman St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064015",
            "country_code": "US",
            "telephone_number": "401-300-5010",
            "fax_number": "401-340-1872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVULIS",
        "first_name": "CAROLEE",
        "middle_name": "VANCOUYGHEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.