Individual provider Active NPI

Jerry Felix, CRNA

  • Certified Registered Nurse Anesthetist
  • Providence, RI
National Provider Identifier
1851741672
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN01811 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903
Phone
(401) 444-5172
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN2299423 MA
Certified Registered Nurse Anesthetist 367500000X APRN01811 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903

Mailing address

690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713

Other practice location 1

690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713

Other practice location 2

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7010

Other practice location 3

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160823002219 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547555054 Reassigns benefits to 6 organizations
I20180524001705 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547555054 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Brown Urology, Inc.Group PAC ID 7810254513, 32 clinicians
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians
Anesthesia Partners of New England LLCGroup PAC ID 2365835428, 39 clinicians
Narragansett Bay Anesthesia LLCGroup PAC ID 5991774929, 95 clinicians
Coastline Anesthesia, LLCGroup PAC ID 1456737261, 14 clinicians

Practice addresses (Care Compare)

195 Collyer St
Suite 104
Providence, RI 02904-1869
Phone (401) 276-2026

277 Pleasant St
Suite 240
Fall River, MA 02721-3005
Phone (508) 676-3292

33 Staniford St
Providence, RI 02905-3105
Phone (401) 421-8800

440 Swansea Mall Dr
Swansea, MA 02777-4114
Phone (352) 275-2064

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7000

55 Lambert Lind Hwy
Suite 100
Warwick, RI 02886-1074
Phone (401) 737-4711

62 Amaral St
Riverside, RI 02915-2205
Phone (800) 338-5378

Hospital & facility affiliations

  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2021 Accepting new patients
Brown Urology, Inc. CurrentSince May 1, 2024 Accepting new patients
Affinity Physicians LLC. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
The ENT Center of Rhode Island LLC Current Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2022 Accepting new patients
Prima Care, PC CurrentSince Mar 1, 2022 Accepting new patients
University Gastroenterology, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2020 Accepting new patients
Anesthesia Partners of New England, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Prima Care, PC CurrentSince Mar 1, 2022 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2020 Accepting new patients
Narragansett Bay Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Coastline Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Affinity Physicians LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Brown Urology, Inc. Current Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

277 Pleasant St
Ste 240
Fall River, MA 02721
Phone (500) 300-3271

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

748 Mount Pleasant St
Unit 50036
New Bedford, MA 02745

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

690 Canton St
Ste 325
Westwood, MA 02090
Phone 7814077713307

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

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

195 Collyer St
Ste 201
Providence, RI 02904
Phone (401) 421-0710

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Providence, RI 02903

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

195 Collyer St
Ste 104
Providence, RI 02904
Phone (401) 276-2026

62 Amaral St
Riverside, RI 02915
Phone (401) 649-4030

75 Newman Ave
Ste 100
Rumford, RI 02916

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

55 Lambert Lind Hwy
Ste 100
Warwick, RI 02886
Phone (401) 737-4711

Interoperability endpoints

  • Direct secure messaging: jfelix35874@direct.southcoast.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1851741672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-444-5172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Canton St",
            "address_2": "Suite 325",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "MA",
            "postal_code": "020902321",
            "country_code": "US",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "02886",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "fax_number": "401-736-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Page St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027403464",
            "country_code": "US",
            "telephone_number": "508-973-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIX",
        "first_name": "JERRY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2299423",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN01811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.