Individual provider Active NPI

Michelle Leveillee, NP

  • Adult Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1659848422
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN01945 Issued in RI
Practice address
164 Summit Ave
Providence, RI 02906-2894
Phone
(401) 793-2500
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN01945 RI
Adult Health Nurse Practitioner 363LA2200X APRN01945 RI Primary

Addresses

Primary practice location

164 Summit Ave
Providence, RI 02906-2894

Mailing address

164 Summit Ave
Providence, RI 02906-2894
Phone (401) 714-7094

Other practice location 1

1526 Atwood Ave Ste 200
Johnston, RI 02919-3289
Phone (401) 404-2975

Other practice location 2

420 Scrabbletown Rd Ste H
North Kingstown, RI 02852-3638
Phone (401) 404-2975

Other practice location 3

1077 Aquidneck Ave Unit A
Middletown, RI 02842-7284
Phone (401) 404-2975

Other practice location 4

2138 Mendon Rd Ste 200
Cumberland, RI 02864-3834
Phone (401) 404-2975

Other practice location 5

450 Veterans Memorial Pkwy Ste 8D
East Providence, RI 02914-5300
Phone (401) 404-2975

Other identifiers 2

IdentifierTypeStateIssuer
APRN01945OtherRISTATE LICENSE NUMBER
CAPRN01945OtherRISTATE CONTROL SUBSTANCE LICENSE NUMBER

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
I20181221000337 RI Practitioner - Nurse Practitioner 8224373139 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Physicians, LLC CurrentSince Dec 3, 2018 Accepting new patients
Prospect Chartercare Elmhurst, LLC Past Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

2138 Mendon Rd
Ste 200
Cumberland, RI 02864

2138 Mendon Rd
Ste 302
Cumberland, RI 02864
Phone (401) 334-1060

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

450 Veterans Memorial Pkwy
Ste 8D
East Providence, RI 02914

1526 Atwood Ave
Ste 200
Johnston, RI 02919
Phone (401) 270-5395

1077 Aquidneck Ave
Unit A
Middletown, RI 02842

1077 Aquidneck Ave
#A
Middletown, RI 02842

420 Scrabbletown Rd
Ste H
North Kingstown, RI 02852
Phone (401) 295-5995

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Interoperability endpoints

  • Direct secure messaging: michelle.leveillee.2@9000.direct.athenahealth.com

Organizations & group practices 3

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1659848422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062894",
            "telephone_number": "401-714-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062894",
            "telephone_number": "401-793-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Atwood Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193289",
            "country_code": "US",
            "telephone_number": "401-404-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Scrabbletown Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028523638",
            "country_code": "US",
            "telephone_number": "401-404-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1077 Aquidneck Ave Unit A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028427284",
            "country_code": "US",
            "telephone_number": "401-404-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2138 Mendon Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643834",
            "country_code": "US",
            "telephone_number": "401-404-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Veterans Memorial Pkwy Ste 8D",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-404-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVEILLEE",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "APRN01945",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN01945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "APRN01945",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROL SUBSTANCE LICENSE NUMBER",
            "identifier": "CAPRN01945",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.