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Jerri L Jaffa , RN, CDE

Nurse Practitioner β€’ Providence, RI

Active NPI 1063642262 Individual Practitioner Female Practitioner
Practice location in NPPES

830 Chalkstone Ave
Providence, RI 029084734

Call 4012737100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

830 Chalkstone Ave

Providence, RI 029084734

Telephone 4012737100
Organization at the Same NPPES Address or Phone
Va Medical Center Facility NPI 1447213731

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Warwick, RI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $150.00 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Jerri Jaffa as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Providence and Rhode Island

173 active clinicians are listed under Nurse Practitioner with a practice address in Providence, RI (391 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

16.2% of these 173 clinicians have the CMS telehealth indicator.

55.5% of these 173 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $150.00.

Manufacturer Payment Nature Product Type Amount ($)
Biogen, Inc.
Consulting Fee
Cash or cash equivalent
TYSABRI General $150.00

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES RI APRN01696

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Diabetes Educator

NUCC Taxonomy Code: 163WD0400X

License # reported to NPPES RI RN 27234
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

470 Toll Gate Rd, Suite 103

Warwick, RI 028862741

Phone: 4019215672

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Lindsay Cathcart , DMD

Student in an Organized Health Care Education/Training Program

NPI 1063082030

Doctor of Dental Medicine

NPI 1104237874

Doctor of Philosophy (Ph.D.)

Dr. Noelle Pruzan , MD

Ophthalmology - Glaucoma Specialist

NPI 1093031858

Doctor of Medicine (M.D.)

Dr. Andrew Schaneman , DDS

Dentist - General Practice

NPI 1104483924

Doctor of Dental Surgery

Dr. Victor Shin , MD

Internal Medicine - Cardiovascular Disease

NPI 1063518702

Doctor of Medicine (M.D.)

Helen Sullivan , RN

Registered Nurse

NPI 1003924135

Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active October 22, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address October 22, 2017

Registered at 830 CHALKSTONE AVE, PROVIDENCE, RI 029084734 (Tel: 4012737100)

πŸ“
Updated Practice Location October 22, 2017

Registered at 470 TOLL GATE RD, SUITE 103, WARWICK, RI 028862741 (Tel: 4019215672)

πŸ‘€
Provider Name / Credentials Updated October 22, 2017

Recorded as JERRI JAFFA, RN, CDE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2017

Registered Nurse (license number reported to NPPES: RI RN 27234)

βœ…
NPI Profile Active July 22, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 22, 2009

Registered at 470 TOLL GATE RD, SUITE 103, WARWICK, RI 028862741 (Tel: 4019215672)

πŸ“
Business Mailing Address (Initial Record) July 22, 2009

Registered at 470 TOLL GATE RD, SUITE 103, WARWICK, RI 028862741 (Tel: 4019215672)

πŸ‘€
Provider Name / Credentials (Initial Record) July 22, 2009

Recorded as JERRI JAFFA, RN, CDE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2009

Registered Nurse (license number reported to NPPES: RI RN 27234)

🟒
Initial NPI Registration & Enumeration July 22, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063642262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2009
Last Update: October 22, 2017
Sole Proprietor: No

Other Nurse Practitioners in Providence

All Nurse Practitioners in Providence

Mailing Address

830 Chalkstone Ave

Providence, RI 029084734

Phone: 4012737100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.