Individual provider Active NPI

Halee Joyce Peloso, PA-C

  • Physician Assistant
  • Lincoln, RI
National Provider Identifier
1942046610
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01699 Issued in RI
Practice address
132 Old River Rd.
Ste 108
Lincoln, RI 02865-1397
Phone
(401) 723-9250
Fax
(814) 339-6165
NPI assigned
Jul 2, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01699 RI Primary

Addresses

Primary practice location

132 Old River Rd.
Ste 108
Lincoln, RI 02865-1397

Mailing address

132 Old River Rd.
Ste 108
Lincoln, RI 02865-1397
Phone (401) 723-9250

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
I20240913001375 RI Practitioner - Physician Assistant 1355881566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Davol SQ
Suite 400
Providence, RI 02903-4759

132 Old River Rd
Suite 108
Lincoln, RI 02865-1397

PO BPX
Suite 68
Osceola Mills, PA 16666-1040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01699RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Core Clinicals LLC CurrentSince Sep 19, 2025 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

Interoperability endpoints

  • Direct secure messaging: hpeloso228234@brownhealth.medalliesdirect.net

Organizations & group practices 4

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.

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1942046610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD.",
            "address_2": "STE 108",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397",
            "telephone_number": "401-723-9250",
            "fax_number": "814-339-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD.",
            "address_2": "STE 108",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397",
            "telephone_number": "401-723-9250",
            "fax_number": "814-339-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSO",
        "first_name": "HALEE",
        "middle_name": "JOYCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.