Active NPI 1003243148 Individual Practitioner Female Practitioner

Michelle L Fox , NP

Nurse Practitioner - Gerontology • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Michelle Fox, NP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Warwick, RI. Practice services are available at 215 TOLL GATE RD STE 104 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 Toll Gate Rd Ste 104

Warwick, RI 028864463

Telephone 4019217290

Fax 4019216194

Associated Practice Facility / Clinic

🏢 Kent County Memorial Hospital Facility NPI 1386643294

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Warwick, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.8 Yrs

State Avg: 8.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Warwick, RI (71 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$520.00	$188.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$425.00	$154.54
G0008 Administration of influenza virus vaccine	11	11	$57.00	$32.68
90662 Influenza vaccine split virus, preservative free	11	11	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	119	50	$130.90	$109.50
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	64	32	$78.29	$64.82
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	61	29	$190.93	$159.73
99497 Advance care planning, first 30 minutes	53	43	$85.04	$71.25
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	20	20	$207.71	$173.73
99344 New patient home visit, typically 1 hour	16	16	$147.53	$123.52
99498 Advance care planning by the physician or other qualified health care professional	12	12	$75.47	$61.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	76	64	$87.95	$73.79
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	54	23	$131.69	$110.43
99335 Established patient assisted living visit, typically 25 minutes	53	15	$97.90	$82.15
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	47	21	$85.38	$71.55
99336 Established patient assisted living visit, typically 40 minutes	28	13	$138.46	$116.28
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	27	18	$182.45	$153.43
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	13	13	$224.01	$187.71
99344 New patient home visit, typically 1 hour	12	12	$184.92	$154.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	143	94	$488.03	$109.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	139	94	$574.47	$73.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	114	81	$296.60	$56.09
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	110	67	$345.23	$109.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	90	55	$124.63	$56.35
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	53	41	$340.00	$74.25
99497 Advance care planning, first 30 minutes	38	27	$440.45	$64.30
99497 Advance care planning, first 30 minutes	38	33	$211.76	$69.83
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	22	$60.49	$35.94
99315 Nursing facility discharge day management, 30 minutes or less	13	12	$286.71	$59.53
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	12	$72.47	$35.96
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$178.27	$137.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	52	40	$774.00	$73.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	26	$525.22	$55.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	104	$205.68	$86.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	75	60	$105.00	$74.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	52	44	$105.00	$74.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	49	44	$80.00	$56.02
36415 Insertion of needle into vein for collection of blood sample	46	43	$6.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$277.00	$116.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$220.50	$92.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$339.19	$137.03
G0009 Administration of pneumococcal vaccine	26	26	$53.10	$23.63
99335 Established patient assisted living visit, typically 25 minutes	25	20	$123.80	$77.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	21	$80.00	$55.87
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$179.89	$96.87
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$139.48	$58.38
99336 Established patient assisted living visit, typically 40 minutes	19	15	$170.00	$109.71
82962 Blood glucose (sugar) test performed by hand-held instrument	17	17	$6.42	$3.15
99316 Nursing facility discharge management, more than 30 minutes	16	16	$142.00	$85.92
83036 Hemoglobin A1C level	14	14	$26.64	$13.05
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$32.06	$13.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$313.04	$130.93

Medical Specialties & State Licenses

CMS Verified: 2024-11-06

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License RI APRN01816

Definition to come...

Clinical Nurse Specialist - Adult Health

NUCC Taxonomy Code: 364SA2200X

State License RI APRN01816

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

APRN01816 (RI)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Kimberly Smith , LICSW

Social Worker - Clinical

NPI 1043419617

Licensed Independent Clinical Social Worker

Dr. David Coia , DO

Family Medicine

NPI 1629181268

Doctor of Osteopathic Medicine (D.O.)

Diane Depasquale , FNP-C

Nurse Practitioner - Family

NPI 1710264015

Family Nurse Practitioner (Certified)

Jennifer Soto , AGPCNP - APRN

Nurse Practitioner - Gerontology

NPI 1760115620

AGPCNPAPRN

Dr. Pierre Caron , MD

Family Medicine

NPI 1871588947

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

29 Historical Events

📍

Updated Practice Location June 10, 2024

Registered at 215 TOLL GATE RD STE 104, WARWICK, RI 028864463 (Tel: 4019217290)

📍

Updated Business Mailing Address June 10, 2024

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4012730641)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2024

Clinical Nurse Specialist (License #APRN01816 in RI)

📍

Updated Practice Location June 06, 2024

Registered at 475 KILVERT ST, WARWICK, RI 028861379 (Tel: 4016266500)

📍

Updated Business Mailing Address June 06, 2024

Registered at 15 HARRY L ANDREWS RD, WEST GREENWICH, RI 028172269 (Tel: 4016266500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Internal Medicine (License #APRN01816 in RI)

📍

Updated Practice Location August 02, 2021

Registered at 900 WARREN AVE STE 401, EAST PROVIDENCE, RI 029141430 (Tel: 4013302480)

📍

Updated Business Mailing Address August 02, 2021

Registered at 533 CASTLE MANOR CT, INDIANAPOLIS, IN 462143633 (Tel: 4016266500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2021

Nurse Practitioner (License #APRN01816 in RI)

📍

Updated Practice Location November 26, 2019

Registered at 3834 SO EMERSON AVE BLDG C STE 100, INDIANAPOLIS, IN 462034620 (Tel: 3177821577)

📍

Updated Business Mailing Address November 05, 2019

Registered at PO BOX 3299, CARSON CITY, NV 897023299 (Tel: 7752220042)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2019

Registered Nurse (License #RN2277637 in MA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Registered Nurse (License #RN51372 in RI)

📍

Updated Practice Location June 28, 2018

Registered at 5150 SHELBYVILLE RD, INDIANAPOLIS, IN 46237 (Tel: 3177821577)

✅

NPI Profile Active December 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 27, 2017

Registered at 5150 SHELBYVILLE RD, INDIANAPOLIS, IN 462372601 (Tel: 3177821577)

📍

Updated Business Mailing Address December 27, 2017

Registered at 5150 SHELBYVILLE RD, INDIANAPOLIS, IN 462372601 (Tel: 3177821577)

👤

Provider Name / Credentials Updated December 27, 2017

Recorded as MICHELLE FOX, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2017

Registered Nurse (License #041.416122 in IL)

📍

Updated Practice Location March 24, 2017

Registered at 5926 CRAWFORDSVILLE RD, INDIANAPOLIS, IN 462243722 (Tel: 3176532730)

📍

Updated Business Mailing Address March 24, 2017

Registered at 5926 CRAWFORDSVILLE RD, INDIANAPOLIS, IN 462243722 (Tel: 3176532730)

👤

Provider Name / Credentials Updated March 24, 2017

Recorded as MICHELLE FOX, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Registered Nurse (License #RN2277637 in MA)

✅

NPI Profile Active June 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2015

Registered at 5150 SHELBYVILLE RD, INDIANAPOLIS, IN 462372601 (Tel: 3177821577)

📍

Updated Business Mailing Address June 22, 2015

Registered at 5150 SHELBYVILLE RD, INDIANAPOLIS, IN 462372601 (Tel: 3177821577)

👤

Provider Name / Credentials Updated June 22, 2015

Recorded as MICHELLE WESTBROOK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2015

Registered Nurse (License #041.416122 in IL)

🟢

Initial NPI Registration & Enumeration October 03, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003243148

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 03, 2013

Last Update: November 06, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4012730641

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.