Ms Kelley Anne Nelligan, RN, MSN, CPNP - Medicare Nurse Practitioner in Riverside, RI

Ms Kelley Anne Nelligan, RN, MSN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Riverside, Rhode Island. Her current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 432-1325.

Ms Kelley Anne Nelligan is licensed to practice in Rhode Island (license number APRN01484) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053430702.

Contact Information

Ms Kelley Anne Nelligan, RN, MSN, CPNP
1011 Veterans Memorial Pkwy,
Riverside, RI 02915-5061
(401) 432-1325
Not Available



Provider's Profile

Full NameMs Kelley Anne Nelligan
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053430702
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 12/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8224390059
  • Enrollment ID: I20180315000206

Medical Identifiers

Medical identifiers for Ms Kelley Anne Nelligan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053430702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 262959 (Massachusetts)Secondary
363LP0200XNurse Practitioner - Pediatrics APRN01484 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kelley Anne Nelligan allows following entities to bill medicare on her behalf.
Entity NameEmma Pendleton Bradley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578768867
PECOS PAC ID: 3870527526
Enrollment ID: O20050921001082

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› Verified 4 days ago

Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548506793
PECOS PAC ID: 2567455082
Enrollment ID: O20130528000089

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› Verified 4 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelley Anne Nelligan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kelley Anne Nelligan, RN, MSN, CPNP
117 Ellenfield St Ste 101,
Providence, RI 02905-4513

Ph: (401) 444-6779
Ms Kelley Anne Nelligan, RN, MSN, CPNP
1011 Veterans Memorial Pkwy,
Riverside, RI 02915-5061

Ph: (401) 432-1325

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› Verified 4 days ago


Nurse Practitioner Nurses in Riverside, RI

Penny Marie Mclean-nowinski, MSN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1445 Wampanoag Trl Unit 205, Riverside, RI 02915
Phone: 401-434-0730    Fax: 401-270-3439
Mrs. Shannon Fultz, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 Myrtle Ave, Riverside, RI 02915
Phone: 603-765-1431    
Donna Marie Rondeau-marzullo, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Suite 102, Riverside, RI 02915
Phone: 401-649-4010    Fax: 401-649-4011
Miss Paula Holmes Constantine, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 375 Wampanoag Trl Ste 102, Riverside, RI 02915
Phone: 401-649-4010    Fax: 401-649-4011
Ms. Britni Turano, MS RN PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1445 Wampanoag Trl Unit 202, Riverside, RI 02915
Phone: 401-437-4116    
Mr. David John Ramos, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Wampanoag Trl Unit 102, Riverside, RI 02915
Phone: 401-435-3325    Fax: 401-435-3327

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