Active NPI
Krystal Coutcher, PA-C
- Medical Physician Assistant
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA01257
- Practice address
- 535 Centerville Rd
Warwick, RI 02886-4486 - Phone
- (800) 659-5411
- NPI assigned
- Oct 28, 2016
- Last updated
- Dec 11, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA01257 | RI | Primary |
| Medical Physician Assistant | 363AM0700X | 23.003718 | CT |
Addresses
Primary practice location
535 Centerville Rd
Warwick, RI 02886-4486
Mailing address
489 Comstock Pkwy
Cranston, RI 02921-2345
Phone (203) 800-5567
Other practice location 1
134 Grandview Ave
210
Waterbury, CT 06708-2507
Phone (203) 754-2535
Other practice location 2
2 Adams Pl Ste 305
Quincy, MA 02169-7456
Phone (617) 302-4194
Other practice location 3
6 Blackstone Valley Pl Ste 502
Lincoln, RI 02865-1102
Phone (401) 334-6262
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Chambers St
Cumberland, RI 02864-7724
Phone (212) 734-6621
6 Blackstone Valley PL
Suite 502
Lincoln, RI 02865-1102
Phone (401) 467-3115
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23.003718 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Rebman BH LLC | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Medical | Current | Accepting new patients |
| Healthadvisors LLC | Current | Accepting new patients | |
| Dr Rebman Medical PA | Current | Accepting new patients | |
| Ivy Medical Group PLLC | Current | Accepting new patients |
Locations
6 Blackstone Valley Pl
Ste 502
Lincoln, RI 02865
Phone (401) 334-6250
1360 W Main Rd
Middletown, RI 02842
Phone (401) 606-3110
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
Interoperability endpoints
- krystal.coutcher.1@30907.direct.athenahealth.com
- krystal.coutcher.1@9000.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Lincoln, RI
- NPI 1598528671
-
dba Brown University Health Urgent Care
- Urgent Care Clinic/Center
- Warwick, RI
- NPI 1285191163
-
dba CharterCARE Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1629493135
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Medical
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grandview Center
- Skilled Nursing Facility
- Cumberland, RI
- NPI 1891977625
Nursing home
-
dba Grand Islander Center
- Skilled Nursing Facility
- Middletown, RI
- NPI 1083896815
Nursing home
-
dba Kent Regency Center
- Skilled Nursing Facility
- Warwick, RI
- NPI 1790967529
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1700338407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 COMSTOCK PKWY",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029212345",
"telephone_number": "203-800-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 CENTERVILLE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864486",
"telephone_number": "800-659-5411"
}
],
"practiceLocations": [
{
"address_1": "134 Grandview Ave",
"address_2": "210",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067082507",
"country_code": "US",
"telephone_number": "203-754-2535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Adams Pl Ste 305",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021697456",
"country_code": "US",
"telephone_number": "617-302-4194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Blackstone Valley Pl Ste 502",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "RI",
"postal_code": "028651102",
"country_code": "US",
"telephone_number": "401-334-6262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUTCHER",
"first_name": "KRYSTAL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-28",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "RI",
"license": "PA01257",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "23.003718",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.