Individual provider Active NPI

Nicole Marie Gardella, RNP

  • Nurse Practitioner
  • Providence, RI
National Provider Identifier
1639313810
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN00256 Issued in RI
Practice address
909 N Main St
Providence, RI 02904-5752
Phone
(401) 273-4064
Fax
(401) 273-1268
NPI assigned
May 1, 2009
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN00256 RI Primary

Addresses

Primary practice location

909 N Main St
Providence, RI 02904-5752

Mailing address

Dept 3010, PO Box 986524
Boston, MA 02298-6524
Phone (401) 443-4992

Other practice location 1

900 Warren Ave Ste 401
East Providence, RI 02914-1430
Phone (401) 330-2480

Other identifiers 2

IdentifierTypeStateIssuer
1639313810MedicaidRI
709004048OtherRIMEDICARE GROUP PTAN

Other names 1

  • Ms. Nicole Marie Hattoy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20091005000699 RI Practitioner - Nurse Practitioner 0143366138 Reassigns benefits to 5 organizations
I20260127000032 MA Practitioner - Nurse Practitioner 0143366138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novella Healthcare Services PLLCGroup PAC ID 5698211456, 6 clinicians
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians

Practice addresses (Care Compare)

450 Veterans Memorial Pkwy
BLDG 11
East Providence, RI 02914-5300
Phone (401) 399-4989

909 N Main St
Suite 300
Providence, RI 02904-5752
Phone (401) 649-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Brown Medicine Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Jan 2, 2024 Accepting new patients
Novella Healthcare Services PLLC CurrentSince Sep 3, 2025 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Brown Medicine Nurse Practitioner Current Accepting new patients
Brown Medicine Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Rhode Island Hospital Nurse Practitioner CurrentSince Jan 2, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Jan 2, 2024 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

1050 Main St
Unit 18
East Greenwich, RI 02818
Phone (401) 886-0966

1454 S County Trl
East Greenwich, RI 02818
Phone (401) 606-1100

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

450 Veterans Memorial Pkwy
Bldg 11
East Providence, RI 02914
Phone (401) 305-3322

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

6 Blackstone Valley Pl
Ste 701
Lincoln, RI 02865
Phone (401) 333-3111

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

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Providence, RI 02903

593 Eddy St
Bldg 1ST
Providence, RI 02903
Phone (401) 444-5803

909 N Main St
Ste 300
Providence, RI 02904
Phone (401) 273-4064

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

41 Sanderson Rd
Ste 201
Smithfield, RI 02917
Phone (401) 253-3710

400 Bald Hill Rd
Ste 514
Warwick, RI 02886
Phone (401) 339-4989

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1639313810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3010, PO BOX 986524",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986524",
            "telephone_number": "401-443-4992",
            "fax_number": "401-537-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045752",
            "telephone_number": "401-273-4064",
            "fax_number": "401-273-1268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Warren Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141430",
            "country_code": "US",
            "telephone_number": "401-330-2480",
            "fax_number": "401-808-6329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDELLA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639313810",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "709004048",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HATTOY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.