Philomene Fortes
NPI 1235568171ActiveIndividual· Nurse Practitioner, Family· Pawtucket, RI
Nurse Practitioner, Family with Blackstone Valley Community Health Care Inc, practicing in Pawtucket, Rhode Island. Their prescriptions cost Medicare Part D more than their services did: $198,105 for 2,490 claims, against $780.54 paid for services in 2024. Lists The Miriam Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1235568171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 1, 2013 |
| Last updated in NPPES | Sep 30, 2024 |
| Certified by provider | Sep 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN01560 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 19 |
|---|---|
| Services billed | 49 across 7 procedure codes |
| Paid by Medicare | $780.54 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,490 · 4,399 30-day fills |
|---|---|
| Patients | 250 |
| Total drug cost | $198,105 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Blackstone Valley Community Health Care IncPawtucket, RI · 48 clinicians
Hospital affiliations
- The Miriam HospitalProvidence, RI
- Women & Infants Hospital of Rhode IslandProvidence, 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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