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

Nicole Catherine Polillio, NP

Individual provider Family Nurse Practitioner · NPI 1033004189

Nicole Catherine Polillio, NP is a Nurse Practitioner in Providence, Rhode Island. Graduated from University of Massachusetts Medical School in 2024, 2 years ago. Accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
2
Trained at
University of Massachusetts Medical School
Licensed in
MA, RI
In the registry since
2025
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Dudley St
Providence, RI 02905-2401
Phone: (401) 274-1100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN04767 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F05250649 (MA)

Record details

NPI number1033004189
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence