Sydney Formicola, NP
NPI 1790667350ActiveIndividual· Nurse Practitioner· Providence, RI
Nurse Practitioner (NP) with Lifespan Physician Group Inc and 1 other group, practicing in Providence, Rhode Island. Enrolled in Medicare as practitioner - nurse practitioner. Medtronic, Inc. reported $258.72 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1790667350 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 24, 2025 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN04637 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (RI) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
- University Surgical Associates, Inc.Providence, RI · 101 clinicians
Industry payments (Open Payments)
- 2025$258.72 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $258.72 | 2 |
What the 2025 payments were for
- Food and Beverage$222.72 · 1 payment
- Education$36.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 181 nurse practitioners in Providence · All nurse practitioners in Rhode Island