Jelena Kupcevic, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN04758 Issued in RI

Practice address

66 Branch Ave Ste 150
Providence, RI 02904-2756

Phone

(401) 606-2590

Fax

(401) 606-2591

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifespan Physician Group, Inc.

  • Urgent Care Clinic/Center
  • Warwick, RI
  • NPI 1285191163
  Medicare reassignment Care Compare group NPD
• Congenial Healthcare, LLC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1730608720
  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678

  Nurse Practitioner

  NPD
• Congenial Healthcare, LLC

  • Family Medicine Physician
  • Middleton, MA
  • NPI 1063923399
  NPD
• Congenial Healthcare, LLC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1285145441
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1619731585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BRANCH AVE STE 150",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042756",
            "telephone_number": "401-606-2590",
            "fax_number": "401-606-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRANCH AVE STE 150",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042756",
            "telephone_number": "401-606-2590",
            "fax_number": "401-606-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028891001",
            "country_code": "US",
            "telephone_number": "401-606-2520",
            "fax_number": "401-384-7190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 W Main Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028426301",
            "country_code": "US",
            "telephone_number": "401-606-3110",
            "fax_number": "401-619-8969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 County Rd",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028064545",
            "country_code": "US",
            "telephone_number": "401-606-3550",
            "fax_number": "401-606-3551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Commerce Way Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029194613",
            "country_code": "US",
            "telephone_number": "401-606-2610",
            "fax_number": "401-606-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPCEVIC",
        "first_name": "JELENA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2338113",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN04758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheetal Kumar, DO
• Siva A. Kumaravelu, DO
• Richard C Kumins, DPM
• Sarnya Kunchithapatham Pichaiyappa
• Erin Elizabeth Kunkel, MD
• Kathryn Cully Kurchena, MD
• Arlet G. Kurkchubasche, MD
• Jayne Audrie Kurkjian, PHD
• Haylee Kurkoski, PA-C
• David Blake Kurland, MD, PHD

• Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.