Individual provider Active NPI

Peter Ameck, NP

  • Nurse Practitioner
  • Smithfield, RI
National Provider Identifier
1679622989
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN00230 Issued in RI
Practice address
41 Sanderson Rd Ste 201
Smithfield, RI 02917-2603
Phone
(401) 949-0300
Fax
(401) 349-3387
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 APRN00230 RI
Nurse Practitioner 363L00000X APRN00230 RI Primary

Addresses

Primary practice location

41 Sanderson Rd Ste 201
Smithfield, RI 02917-2603

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

Other identifiers 1

IdentifierTypeStateIssuer
PA79210MedicaidRI

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
I20100211000475 RI Practitioner - Nurse Practitioner 6204979362 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN00230RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers of Rhode Island PC Nurse Practitioner CurrentSince Apr 3, 2023 Accepting new patients
Prospect Chartercare RWMC, LLC Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Coastal Medical Physicians, Inc. Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Frank Michael D'Alessandro, MD Inc CurrentSince Apr 3, 2023 Accepting new patients

Locations

106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197

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

2 Wake Robin Rd
Ste 103
Lincoln, RI 02865
Phone (401) 334-3105

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

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

593 Eddy St
Providence, RI 02903

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

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

43 Jefferson Blvd
Ste 2
Warwick, RI 02888
Phone (401) 467-1166

43 Jefferson Blvd
Warwick, RI 02888
Phone (401) 316-5482

Interoperability endpoints

  • Direct secure messaging: peter.ameck@direct.chartercare.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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1679622989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD STE 201",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172603",
            "telephone_number": "401-949-0300",
            "fax_number": "401-349-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMECK",
        "first_name": "PETER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00230",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA79210",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

Verify at the official NPI Registry.