Christopher Bruce Anderson, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Jamestown, RI
NPI 1912685306 · NPPES record last updated Apr 19, 2026
Key facts
- NPI
- 1912685306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN03613 (RI)
- Practice address
- 19 Sloop St
Jamestown, RI 02835-1744 - Phone
- (410) 812-1732
- Fax
- (401) 238-4213
- NPI assigned
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1075 Smith St
Providence, RI 02908-2700
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jun 3, 2026 through Jun 3, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN76462 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Behavioral Health Associates Inc | Current |
Accepting new patients | |
| Beacon Behavioral Health | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264
1075 Smith St
Ste 2
Providence, RI 02908
Phone (401) 369-9224
1075 Smith St
Providence, RI 02908
Phone (401) 369-9224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN03613 | RI | Yes |
| Registered Nurse | 163W00000X | RN76462 | RI |
Addresses
Primary practice location
19 Sloop St
Jamestown, RI 02835-1744
Mailing address
19 Sloop St
Jamestown, RI 02835-1744
Phone (410) 812-1732
Other providers in Jamestown, RI
- Alite Care Corporation
- Baker'S Pharmacy of Jamestown, Inc
- Joan Theresa Beckett
- Neil Lawrence Blitz
- Diane Carol Bonn-Damle
- Bridges Inc
All providers in Jamestown, RI · Psychiatric/Mental Health 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 Apr 19, 2026. 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).
- Opt Out Affidavits (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.