Jeremy Daniel Dibiasio
NPI 1114533783ActiveIndividual· Student in an Organized Health Care Education/Training Program· Warwick, RI
Student in an Organized Health Care Education/Training Program with Lifespan Physician Group Inc, practicing in Warwick, Rhode Island. In 2024 Medicare paid $8,181 for 111 patients, and Part D covered 314 of their prescriptions, 89% of them generic. Lists The Miriam Hospital as a hospital affiliation.
Overview
| NPI | 1114533783 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 19, 2020 |
| Last updated in NPPES | Sep 9, 2021 |
| Certified by provider | Jun 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | APRN02742 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 196 across 22 procedure codes |
| Paid by Medicare | $8,181 |
Part D prescriptions in 2024
| Prescriptions (claims) | 314 · 334 30-day fills |
|---|---|
| Patients | 208 |
| Total drug cost | $4,094 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
Hospital affiliation
- The Miriam HospitalProvidence, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Student in an Organized Health Care Education/Training Program providers in Rhode Island →