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Active NPI 1790667350 Individual Practitioner Female Practitioner

Sydney Formicola , NP

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sydney Formicola, NP is a certified Nurse Practitioner practicing in Providence, RI. With approximately 2 years of clinical experience since completing medical education in 2024, Sydney Formicola delivers high-quality medical care to the local community at 208 COLLYER ST STE 301A.

Sydney Formicola maintains professional affiliations with University Surgical Associates, Inc., Lifespan Physician Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

208 Collyer St Ste 301a

Providence, RI 029041560

Telephone 4017254888
Fax 4017253336
Associated Practice Facility / Clinic
🏢 R.i. Colorectal Clinic 1, Llc Facility NPI 1861521510

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Providence, RI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
176 Specialists

Practicing in Providence, RI (397 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Formicola (2 Years) 2 Yrs
Providence Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI APRN04637

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

University Surgical Associates, Inc.

208 Collyer St, Providence, RI 029041560

Phone: 4012721800

Lifespan Physician Group Inc

208 Collyer St, Providence, RI 029041560

Phone: 4017254888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Adam Klipfel , MD

Colon & Rectal Surgery

NPI 1114988243

Doctor of Medicine (M.D.)

Gretchen Carr , NP-C

Nurse Practitioner

NPI 1447885603

Nurse Practitioner (Certified)

Dr. Cyprien Jungels , DO

Student in an Organized Health Care Education/Training Program

NPI 1609452697

Doctor of Osteopathic Medicine (D.O.)

Dr. Rebecca Gologorsky , MD

Colon & Rectal Surgery

NPI 1710374343

Doctor of Medicine (M.D.)

Dr. Steven Schechter , MD

Colon & Rectal Surgery

NPI 1740241876

Doctor of Medicine (M.D.)

Dr. Matthew Vrees , MD

Colon & Rectal Surgery

NPI 1932175866

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2025

Registered at 208 COLLYER ST STE 301A, PROVIDENCE, RI 029041560 (Tel: 4017254888)

📍
Updated Business Mailing Address July 24, 2025

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤
Provider Name / Credentials Updated July 24, 2025

Recorded as SYDNEY FORMICOLA, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2025

Nurse Practitioner (License #APRN04637 in RI)

🟢
Initial NPI Registration & Enumeration July 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790667350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2025
Last Update: July 24, 2025
Sole Proprietor: No

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.