Philomene Fortes
NPI 1235568171 · Family Nurse Practitioner · Pawtucket, RI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philomene Fortes is a Family Nurse Practitioner provider in Pawtucket, RI (NPI 1235568171).
Provider details
- NPI number
- 1235568171
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- APRN01560 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
38 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 19 | $3 |
| Hemoglobin A1c Level83036 | 19 | $10 |
Typical Medicare-allowed amounts for these services range $3–$10 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 221 | 63 |
| Amlodipine Besylate | 164 | 45 |
| Metformin Hcl | 118 | 37 |
| Lisinopril | 116 | 42 |
| Omeprazole | 112 | 30 |
| Losartan Potassium | 106 | 21 |
| Hydrochlorothiazide | 89 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-01
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Philomene Fortes's NPI number?
- Philomene Fortes's National Provider Identifier (NPI) is 1235568171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philomene Fortes's specialty?
- Philomene Fortes is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Philomene Fortes located?
- Philomene Fortes's practice location on file with NPPES is 39 East Ave, Pawtucket, RI 02860-4003.
- What is Philomene Fortes's phone number?
- The practice phone number listed in the NPPES registry for Philomene Fortes is (401) 722-0081.
- Does Philomene Fortes accept Medicare?
- Philomene Fortes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philomene Fortes's NPI active?
- Yes — Philomene Fortes's NPI (1235568171) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.