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Active NPI 1811758758 Individual Practitioner Female Practitioner

Crystal Goncalves , AGACNP-BC

Nurse Practitioner • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Crystal Goncalves, AGACNP-BC is a certified Nurse Practitioner practicing in Providence, RI. With approximately 3 years of clinical experience since completing medical education in 2023, Crystal Goncalves delivers high-quality medical care to the local community at 593 EDDY ST.

Crystal Goncalves maintains professional affiliations with Lifespan Physician Group Inc, Rhode Island Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4014445891
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

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
3 Yrs -7.4 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. Goncalves (3 Years) 3 Yrs
Providence Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-03-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI APRN03865

(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.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License RI APRN03865

Definition to come...

Hospital & Practice Group Affiliations

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Phone: 4016061004

Lifespan Physician Group Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014444000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Karen Steinmetz , PA

Physician Assistant - Medical

NPI 1013102276

Physician Assistant

Dr. Philip Haines , MD

Internal Medicine - Cardiovascular Disease

NPI 1043439615

Doctor of Medicine (M.D.)

Dr. Siyamek Neragi-Miandoab , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1053676809

Doctor of Medicine (M.D.)

Emily Hill , PA

Physician Assistant

NPI 1053970756

Physician Assistant

Dr. Anum Asif , MD

Internal Medicine - Interventional Cardiology

NPI 1083096010

Doctor of Medicine (M.D.)

Meghan Burton , PA-C

Physician Assistant

NPI 1124456124

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address March 15, 2024

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014446779)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2024

Nurse Practitioner (License #APRN03865 in RI)

NPI Profile Active January 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2024

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014444000)

📍
Updated Business Mailing Address January 18, 2024

Registered at 698 ARCADE AVE, SEEKONK, MA 027715331

👤
Provider Name / Credentials Updated January 18, 2024

Recorded as CRYSTAL GONCALVES, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Nurse Practitioner (License #APRN03865 in RI)

🟢
Initial NPI Registration & Enumeration January 18, 2024

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: 1811758758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2024
Last Update: March 15, 2024
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014446779

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.