Olga Fedorenko, ACRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN00700 Issued in RI

Practice address

15 Carlson St
Coventry, RI 02816-6033

Phone

(401) 823-0244

NPI assigned

Jul 2, 2015

Last updated

Jul 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHFFAD/Endpoint/FHFFAD

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.

• Mark E Clarke,NP,LLC

  • Nurse Practitioner
  • Greenville, RI
  • NPI 1952756652
  Medicare reassignment NPD
• Prospect Chartercare Physicians, LLC

  dba CharterCARE Medical Associates

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1629493135
  Medicare reassignment NPD

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

• Kent County Memorial Hospital

  dba Kent County Hospital Rehab Unit

  • Rehabilitation Hospital Unit
  • Warwick, RI
  • NPI 1023017944
  Care Compare affiliation
• Kent County Memorial Hospital

  • General Acute Care Hospital
  • Warwick, RI
  • NPI 1386643294
  Care Compare affiliation
• 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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1669855029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CARLSON ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166033",
            "telephone_number": "401-823-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CARLSON ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166033",
            "telephone_number": "401-823-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORENKO",
        "first_name": "OLGA",
        "name_prefix": "Mrs.",
        "credential": "ACRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Esau, OTR/L
• Samantha Falkowski
• Ma. Liza Ann Flores Famador, MD
• Ashley Fazio, M.S., CCC-SLP
• Tina Federici, LICSW
• Donald Reno Ferraro, DDS
• Elsa Ford, FNP-C
• Four Winds Chiropractic, Inc. (Four Winds Chiropractic)
• Joseph Alan Franco Sr., RPH
• Ann Funicello, LICSW

• Family Nurse Practitioner in Coventry, RI
• Providers in Coventry, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.