Individual provider Active NPI

Nicole Ann Oksanish, FNP-C, RN

  • Family Nurse Practitioner
  • Coventry, RI
National Provider Identifier
1538797527
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN04216 Issued in RI
Practice address
595 Washington Stree
Cnemg Primary Care of Coventry
Coventry, RI 02816
Phone
(401) 822-2772
Fax
(401) 821-5260
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN2267506 MA
Family Nurse Practitioner 363LF0000X APRN04216 RI Primary
Family Nurse Practitioner 363LF0000X RN2267506 MA

Addresses

Primary practice location

595 Washington Stree
Cnemg Primary Care of Coventry
Coventry, RI 02816

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

982 Tiogue Ave
Coventry, RI 02816-6116
Phone (401) 600-2777

Other practice location 2

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 809-6262

Other practice location 3

15 Pleasant Valley Rd
Sutton, MA 01590-2970
Phone (508) 426-9005

Other practice location 4

2140 Mendon Rd
Cumberland, RI 02864-3843
Phone (401) 642-2072

Other practice location 5

400 Putnam Pike
Smithfield, RI 02917-2408
Phone (401) 757-6160

Other practice location 6

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Other names 1

  • Nicole Ann Chadbourne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201113001762 MA Practitioner - Nurse Practitioner 1355751710 Reassigns benefits to 1 organization
I20241111001571 RI Practitioner - Nurse Practitioner 1355751710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

15 Pleasant Valley Rd
Sutton, MA 01590-2970
Phone (508) 426-9005

Merit-based Incentive Payment System (MIPS)

Final score
99.87 of 100Reported as apm
Quality
91.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2267506MAMDFamily Nurse Practitioner
APRN04216RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Feb 1, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Feb 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Nov 25, 2024 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Affinity Physicians LLC. Past Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

15 Pleasant Valley Rd
Sutton, MA 01590
Phone (508) 426-9005

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Providence, RI 02903

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: nicole.oksanish@49412312072196.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1538797527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 WASHINGTON STREE",
            "address_2": "CNEMG PRIMARY CARE OF COVENTRY",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "02816",
            "telephone_number": "401-822-2772",
            "fax_number": "401-821-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "982 Tiogue Ave",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166116",
            "country_code": "US",
            "telephone_number": "401-600-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Messenger St",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "MA",
            "postal_code": "027622258",
            "country_code": "US",
            "telephone_number": "508-809-6262",
            "fax_number": "508-809-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "MA",
            "postal_code": "015902970",
            "country_code": "US",
            "telephone_number": "508-426-9005",
            "fax_number": "508-426-8966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643843",
            "country_code": "US",
            "telephone_number": "401-642-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Putnam Pike",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172408",
            "country_code": "US",
            "telephone_number": "401-757-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "fax_number": "401-736-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKSANISH",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "RN2267506",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04216",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CHADBOURNE",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coventry, RI

Sources for this page

Verify at the official NPI Registry.