Individual provider Active NPI

Marisa Nicole Kane, APRN

  • Family Nurse Practitioner
  • East Providence, RI
National Provider Identifier
1639851785
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03739 Issued in RI
Practice address
684 Warren Ave
East Providence, RI 02914-1405
Phone
(401) 434-0022
Fax
(401) 434-6111
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2355216 MA
Family Nurse Practitioner 363LF0000X APRN03739 RI Primary

Addresses

Primary practice location

684 Warren Ave
East Providence, RI 02914-1405

Mailing address

684 Warren Ave
East Providence, RI 02914-1405
Phone (401) 434-0022

Other practice location 1

174 Pasture Farm Dr
Middletown, RI 02842-7906
Phone (401) 499-7213

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
I20240326003007 RI Practitioner - Nurse Practitioner 5193162170 Reassigns benefits to 1 organization
I20250630002435 MA Practitioner - Nurse Practitioner 5193162170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

374 William S Canning Blvd
Fall River, MA 02721-2342
Phone (508) 973-2432

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Primary Walk-in Medical Urgent Care LLC CurrentSince Feb 13, 2024 Accepting new patients
Primary Medical Center and Walk-in LLC CurrentSince Feb 13, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 30, 2025 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

450 William S Canning Blvd
Unit 3
Fall River, MA 02721
Phone (774) 520-0033

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

374 William S Canning Blvd
Fall River, MA 02721
Phone (508) 730-2978

684 Warren Ave
East Providence, RI 02914
Phone (401) 434-0022

Interoperability endpoints

  • Direct secure messaging: mkane49895@direct.southcoast.org

Organizations & group practices 5

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.

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1639851785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141405",
            "telephone_number": "401-434-0022",
            "fax_number": "401-434-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141405",
            "telephone_number": "401-434-0022",
            "fax_number": "401-434-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Pasture Farm Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028427906",
            "country_code": "US",
            "telephone_number": "401-499-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "MARISA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2355216",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.