Individual provider Active NPI

Stephanie Tara Rizzuto, FNP-C

  • Family Nurse Practitioner
  • Westerly, RI
National Provider Identifier
1588316921
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03661 Issued in RI
Practice address
45 Wells St Ste 201&204
Westerly, RI 02891-2961
Phone
(401) 637-7202
Fax
(860) 865-2393
NPI assigned
Jan 26, 2022
Last updated
Oct 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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 APRN03661 RI Primary

Addresses

Primary practice location

45 Wells St Ste 201&204
Westerly, RI 02891-2961

Mailing address

45 Wells St Ste 201&204
Westerly, RI 02891-2961
Phone (401) 637-7202

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
I20231017002738 RI Practitioner - Nurse Practitioner 4183079759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

45 Wells St
Suite 201
Westerly, RI 02891-2927
Phone (401) 596-7736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN03661RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Oct 30, 2023 Accepting new patients

Locations

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

45 Wells St
Westerly, RI 02891
Phone (401) 348-0008

45 Wells St
Ste 201
Westerly, RI 02891
Phone (401) 637-7200

45 Wells St
Ste 201204
Westerly, RI 02891
Phone (401) 637-7202

45 Wells St
Ste 204
Westerly, RI 02891
Phone (401) 315-5595

Interoperability endpoints

  • Direct secure messaging: smattiello635858@direct.ynhh.org

Organizations & group practices 1

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1588316921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLS ST STE 201&204",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912961",
            "telephone_number": "401-637-7202",
            "fax_number": "860-865-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WELLS ST STE 201&204",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912961",
            "telephone_number": "401-637-7202",
            "fax_number": "860-865-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZUTO",
        "first_name": "STEPHANIE",
        "middle_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.