Katelyn R Agnew, PMHNP-BC in Riverside, RI - Medicare Nurse Practitioner

Katelyn R Agnew, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverside, Rhode Island. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 205 Bullocks Point Ave Ste 2, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 433-9453.

Katelyn R Agnew is licensed to practice in Rhode Island (license number APRN02327) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1972122364.

Contact Information

	Katelyn R Agnew, PMHNP-BC
	205 Bullocks Point Ave Ste 2, Riverside, RI 02915-5336
	(401) 433-9453
	(401) 340-1650

Map and Direction

Provider's Profile

Full Name	Katelyn R Agnew
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	205 Bullocks Point Ave Ste 2, Riverside, Rhode Island
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katelyn R Agnew graduated from nursing school in 2020

NPI Data:

NPI Number: 1972122364
Provider Enumeration Date: 04/15/2020
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 6103247093
Enrollment ID: I20200601002681

Medical Identifiers

Medical identifiers for Katelyn R Agnew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972122364	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN02327 (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. Katelyn R Agnew allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

Entity Name	Primary & Psychiatric Integrated Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508483694 PECOS PAC ID: 3072930064 Enrollment ID: O20200908000560

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. Katelyn R Agnew 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 Address	Practice Location Address
Katelyn R Agnew, PMHNP-BC 205 Bullocks Point Ave Ste 2, Riverside, RI 02915-5336 Ph: (401) 433-9453	Katelyn R Agnew, PMHNP-BC 205 Bullocks Point Ave Ste 2, Riverside, RI 02915-5336 Ph: (401) 433-9453

Reviews and Comments

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: Not Enrolled in Medicare 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
Patricia Schneider, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Wampanoag Trl, Riverside, RI 02915 Phone: 401-785-6164
Ms. Kelley Anne Nelligan, RN, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1325
Miss Paula Holmes Constantine, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 102, Riverside, RI 02915 Phone: 401-649-4010 Fax: 401-649-4011
Gabrielle Hermes Burke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031

Katelyn R Agnew, PMHNP-BC - Medicare Nurse Practitioner in Riverside, RI