Angela Jean Janick, FNP-C – Nurse Practitioner

Key facts

NPI: 1780433474
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: APRN04054 (RI)
Practice address: 2444 E Main Rd
Portsmouth, RI 02871-4025
Phone: (401) 683-4817
NPI assigned: May 15, 2024
Sex: Female
Sole proprietor: No

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.

Southcoast Physicians Group, Inc. Family Medicine Physician · Fairhaven, MA · NPI 1336137629

Medicare reassignment Care Compare group NPD RI
Southcoast Physicians Group, Inc. Orthopaedic Surgery Physician · North Dartmouth, MA · NPI 1902201536

NPD

Hospital & facility affiliations 2

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

Newport Hospital General Acute Care Hospital · Newport, RI · NPI 1457346413

Care Compare affiliation Hospital
Southcoast Hospitals Group, Inc General Acute Care Hospital · Wareham, MA · NPI 1922024835

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Southcoast Physicians Group Inc (875 clinicians)

Practice addresses (Care Compare)

2444 E Main Rd
Southcoast Physicians Group Inc
Portsmouth, RI 02871-4025
Phone (401) 683-4817

Hospital & facility affiliations

Southcoast Hospitals Group Hospital · Fall River, MA · CCN 220074
Newport Hospital Hospital · Newport, RI · CCN 410006

Medicare participation

Medicare fee-for-service enrollment: Enrolled in RI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240822003335	RI	Practitioner - Nurse Practitioner	1850753120	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Southcoast Physicians Group, Inc.		Current since Jul 28, 2024	Accepting new patients
Southcoast Physicians Group, Inc.		Current since Jul 28, 2024	Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

2444 E Main Rd
Portsmouth, RI 02871
Phone (401) 683-4817

Interoperability endpoints

Direct secure messaging: asaraiva38395@direct.southcoast.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	APRN04054	RI	Yes

Addresses

Primary practice location

2444 E Main Rd
Portsmouth, RI 02871-4025

Mailing address

200 Mill Rd
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other providers in Portsmouth, RI

All providers in Portsmouth, RI · Nurse Practitioner in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.