Kristi Ann Botelho, - Medicare Nurse Practitioner in Providence, RI

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Kristi Ann Botelho, is a medicare enrolled "Nurse Practitioner - Family" in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 793-9166.

Kristi Ann Botelho is licensed to practice in Rhode Island (license number APRN02090) 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 1306305214.

Contact Information

Kristi Ann Botelho,
593 Eddy St,
Providence, RI 02903-4923
(401) 793-9166
(401) 444-2788

Map and Direction




Provider's Profile

Full NameKristi Ann Botelho
GenderFemale
SpecialityNurse Practitioner - Family
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306305214
  • Provider Enumeration Date: 03/19/2019
  • Last Update Date: 07/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163758350
  • Enrollment ID: I20190725002035

Medical Identifiers

Medical identifiers for Kristi Ann Botelho such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306305214NPI-NPPES
RN2301218OtherMACNP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN02090 (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. Kristi Ann Botelho allows following entities to bill medicare on her behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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. Kristi Ann Botelho 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
Kristi Ann Botelho,
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779		Kristi Ann Botelho,
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 793-9166

Reviews and Comments


Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj,
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Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906
Phone: 401-793-3902    
Tanya A White, CNP
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Practice Location: 530 N Main St, Providence, RI 02904
Phone: 401-276-4020    
Phina A Mayu, NP
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Practice Location: 1 Randall Sq, Providence, RI 02904
Phone: 401-274-6339    Fax: 401-453-6290
Beverly Casinelli, APRN
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Practice Location: 765 Allens Ave, Providence, RI 02905
Phone: 401-606-4150    
Elizabeth Moore Medbury, APRN
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Practice Location: 830 Chalkstone Ave, Providence, RI 02908
Phone: 401-273-7011    
Jennifer R Ouellette, MSN, RNP
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Medicare: Medicare Enrolled
Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908
Phone: 401-273-7100    
Mrs. Carolyn V Hopkins, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 695 Eddy St, Suite 21, Providence, RI 02903
Phone: 401-272-1550    Fax: 401-421-8792

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.