Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Fortes

Individual provider Acute Care Nurse Practitioner · NPI 1669143970

Jennifer Fortes is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2021, 5 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2021
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Practice location Address checks out

164 Summit Ave
Providence, RI 02906-2894
Phone: (401) 793-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN02840 (RI)

Record details

NPI number1669143970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2021
Last updated in NPPESSeptember 26, 2021
Certification dateSeptember 24, 2021
Mailing address5 Myers Dr, Lincoln, RI 02865-5025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence