Individual provider Active NPI

Pamela Gadbaw, FNP-C

  • Nurse Practitioner
  • Middletown, RI
National Provider Identifier
1730744483
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN02026 Issued in RI
Practice address
102 Valley Rd
Middletown, RI 02842-5237
Phone
(401) 239-1800
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN02026 RI Primary

Addresses

Primary practice location

102 Valley Rd
Middletown, RI 02842-5237

Mailing address

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Other practice location 1

851 Main St
Warren, RI 02885-4402
Phone (401) 239-1800

Other practice location 2

618 Toll Gate Rd
Warwick, RI 02886-2717
Phone (401) 239-1800

Other practice location 3

67 William S Canning Blvd
Tiverton, RI 02878-3003
Phone (401) 239-1800

Other practice location 4

1524 Atwood Ave Ste 321
Johnston, RI 02919-3228
Phone (401) 239-1800

Other practice location 5

1525 Wampanoag Trl Ste 203
Riverside, RI 02915-1038
Phone (401) 239-1800

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
I20190725001571 RI Practitioner - Nurse Practitioner 5193051373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians

Practice addresses (Care Compare)

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
95.87
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Dermatology LLC CurrentSince May 29, 2019 Accepting new patients
Southcoast Physicians Group, Inc. PastSince May 29, 2019 Accepting new patients

Locations

2435 Nooseneck Hill Rd
Unit 1A
Coventry, RI 02816
Phone (401) 239-1800

2138 Mendon Rd
Ste 201
Cumberland, RI 02864
Phone (401) 305-5757

1524 Atwood Ave
Ste 321
Johnston, RI 02919
Phone (401) 239-1800

51 Long Wharf Mall
Newport, RI 02840
Phone (401) 239-1800

1525 Wampanoag Trl
Ste 203
Riverside, RI 02915
Phone (401) 239-1800

67 William S Canning Blvd
Tiverton, RI 02878
Phone (401) 239-1800

851 Main St
Warren, RI 02885
Phone (401) 247-1000

618 Toll Gate Rd
Warwick, RI 02886
Phone (401) 239-1800

Interoperability endpoints

  • Direct secure messaging: pgadbaw@aspire.emadirect.md
  • FHIR API: https://aspire.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1730744483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Main St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028854402",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862717",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 William S Canning Blvd",
            "address_purpose": "LOCATION",
            "city": "Tiverton",
            "state": "RI",
            "postal_code": "028783003",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 Atwood Ave Ste 321",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193228",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Wampanoag Trl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029151038",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADBAW",
        "first_name": "PAMELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN02026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.