Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063088730 Deactivated / Inactive NPI Male Practitioner

Cameron Robert Fletcher , PA

Physician Assistant • Warwick, RI

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cameron Fletcher has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2021
NPI Deactivation Date September 25, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Cameron Fletcher, PA was a registered Physician Assistant practicing in Warwick, RI. Throughout an active medical career spanning 1 years, Cameron Fletcher provided care at the practice location at 455 TOLL GATE ROAD until profile deactivation on 2021-09-25.

Cameron Fletcher maintained professional affiliations with Umass Memorial Medical Group Inc, Affinity Physicians Llc. and accepted Medicare assignment.

Historical Medicare Part B clinical services included initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

455 Toll Gate Road

Warwick, RI 02886

Telephone 4017377000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warwick, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
84 Specialists

Practicing in Warwick, RI (687 Statewide)

Telehealth Adoption Rate
13.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fletcher (5 Years) 5 Yrs
Warwick Specialty Average (9.1 Years) 9.1 Yrs

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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
11 11 $312.00 $109.36

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01358

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA PA8195

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Tollgate Rd, Warwick, RI 028862759

Umass Memorial Medical Group Inc

14 Prospect St, Milford, MA 017573003

Phone: 5084731190

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

111 Brewster St

Pawtucket, RI 028604400

Phone: 4017386611

101 Plain Street 4th Fl

Providence, RI 02903

Phone: 4017386611

101 Dudley St

Providence, RI 029052401

Phone: 4012741122

14 Prospect St

Milford, MA 017573003

Phone: 5084731190

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Sterling Malish , MD

Internal Medicine

NPI 1003073776

Doctor of Medicine (M.D.)

Sabrina O'donnell , FNP-BC

Nurse Practitioner - Family

NPI 1003422775

Family Nurse Practitioner (Board Certified)

Dr. John Gelzhiser , MD

Internal Medicine

NPI 1013100759

Doctor of Medicine (M.D.)

Maureen Mccourt

Nurse Practitioner - Pediatrics

NPI 1053589796
Nicole Barton , PA-C

Physician Assistant

NPI 1063746592

Physician Assistant (Certified)

NPI 1063859270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Business Mailing Address July 21, 2026

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2026

Physician Assistant (License #PA8195 in MA)

📍
Updated Business Mailing Address December 17, 2021

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4017377010)

👤
Provider Name / Credentials Updated December 17, 2021

Recorded as CAMERON FLETCHER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2021

Physician Assistant (License #PA01358 in RI)

📍
Updated Practice Location October 21, 2021

Registered at 455 TOLL GATE ROAD, WARWICK, RI 02886 (Tel: 4017377000)

📍
Updated Business Mailing Address October 21, 2021

Registered at 1045 OAKHAM RD, NEW BRAINTREE, MA 015311855 (Tel: 5083444861)

👤
Provider Name / Credentials Updated October 21, 2021

Recorded as CAMERON FLETCHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2021

Physician Assistant

⚠️
NPI Profile Deactivated September 25, 2021

Record deactivated on September 25, 2021

NPI Profile Active June 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2021

Registered at 1045 OAKHAM RD, NEW BRAINTREE, MA 015311855 (Tel: 5083444861)

📍
Updated Business Mailing Address June 02, 2021

Registered at 1045 OAKHAM RD, NEW BRAINTREE, MA 015311855 (Tel: 5083444861)

👤
Provider Name / Credentials Updated June 02, 2021

Recorded as CAMERON FLETCHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Cameron Fletcher. Be the first to share your experience!

Sign in to leave a review for Cameron Fletcher

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063088730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2021
Last Update: July 21, 2026
Deactivation Date: September 25, 2021
Sole Proprietor: No

Mailing Address

455 Toll Gate Rd, Prc And Credentialing

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.