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

Nicole Deangelis, PMH-NP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1548149594

Nicole Deangelis, PMH-NP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2025, 1 year ago. Practices with Supportive Care I of Rhode Island PC, a 54-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 455-6356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN04769 (RI)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN69971 (RI)

Record details

NPI number1548149594
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMH-NP
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Supportive Care I Of Rhode Island Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence