Active NPI
Peter Ameck, NP
- Nurse Practitioner
- Smithfield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN00230
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA79210 | Medicaid | RI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN00230 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers of Rhode Island PC | Nurse Practitioner | Current | Accepting new patients |
| Prospect Chartercare RWMC, LLC | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Frank Michael D'Alessandro, MD Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Cumberland, RI
- NPI 1598341067
Nurse Practitioner, RI
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
Nurse Practitioner
-
- Internal Medicine Physician
- Lincoln, RI
- NPI 1518944941
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1326463548
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.