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

Philomene Fortes

Individual provider Family Nurse Practitioner · NPI 1235568171

Philomene Fortes is a Nurse Practitioner in Pawtucket, Rhode Island. Qualified in 2013, 13 years ago. Practices with Blackstone Valley Community Health Care Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
13
Licensed in
RI
In the registry since
2013

Practice location Address checks out

39 E Ave
Pawtucket, RI 02860-4003
Phone: (401) 722-0081
Fax: (401) 312-0318
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN01560 (RI)

Record details

NPI number1235568171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2013
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address4404 Queensbury Rd, Riverdale, MD 20737-1068

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Blackstone Valley Community Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pawtucket