Kathleen Johanna Nelson, MD
Family Medicine Physician · West Warwick, RI
Kathleen Johanna Nelson, MD is a family medicine physician with a practice address in West Warwick, Rhode Island, and NPI 1699304360, issued on Apr 5, 2020. Check the license (Rhode Island MD19478, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Kathleen Johanna Nelson
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- MD19478 RI
Self-reported in NPPES; status is on the state search - Practice location
- 186 Providence St, West Warwick, RI 02893
- Phone
- (401) 615-2800
- Enumerated
- Apr 5, 2020
- Record last updated
- Aug 29, 2025
- Medicare enrollment
- Enrolled (PECOS I20240416000736); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 475 in Rhode Island → Look up another NPI →
Also registered at 186 Providence St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Kelly Albro, FNP-BCNurse Practitioner1053033191
- Lexsey Almeida, LMHCMental Health Counselor1427614502
- Ashlee Austin, LICSWClinical Social Worker1568183739
- Eric Bai, MDInternal Medicine Physician1376292938
Verify Kathleen Johanna Nelson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD19478Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
23% fewer Medicare Part D claims than the average family medicine physician in 2024
2,721 Medicare Part D claims for 165 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims. 88 claims were for opioids.
Most prescribed
- Atorvastatin Calcium136 claims
- Amlodipine Besylate98 claims
- Albuterol Sulfate Hfa87 claims
- Gabapentin86 claims
- Lisinopril82 claims
- Losartan Potassium79 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Thundermist Health CenterWest Warwick, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kathleen Johanna Nelson among 475 family medicine physician records in Rhode Island
Kathleen Johanna Nelson, MD is one of 475 family medicine physician records with a practice address in Rhode Island. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 76% of them.
- NPI issued2020 · 76% of these records are older, 20% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2020 · median 2008 among the 282 with a school on file
- Record last updated2025 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
22 family medicine physician records list a practice address in West Warwick
They are 22 of the 309 NPPES records with a practice address in West Warwick, and 475 family medicine physician records in Rhode Island.
All 475 in Rhode Island → Every provider in West Warwick → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Benjamin Adler, M.D.West Warwick, RI 028931538515606
- Jennifer Buckley, MDWest Warwick, RI 028931811125081
- Max Cohen, DOWest Warwick, RI 028931720409519
- Caitlin Gillooly, MDWest Warwick, RI 028931497275465
- Arnold Goldberg, MDWest Warwick, RI 028931265415194
- Meghan Grant, DOWest Warwick, RI 028931861710394
- Marla Hansel, M.D.West Warwick, RI 028931770878134
- Daniel Harris, MDWest Warwick, RI 028931841678547
Common questions
What is Kathleen Johanna Nelson, MD's NPI number?
Kathleen Johanna Nelson, MD's National Provider Identifier (NPI) is 1699304360, issued on Apr 5, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Kathleen Johanna Nelson, MD located?
The NPPES record lists a practice address at 186 Providence St, West Warwick, RI, 02893. Phone: (401) 615-2800. Providers update this record themselves, so call before visiting.
How can I verify Kathleen Johanna Nelson, MD's license?
NPPES lists Rhode Island license number MD19478, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kathleen Johanna Nelson, MD prescribe under Medicare Part D?
In 2024, Kathleen Johanna Nelson, MD had 2,721 Medicare Part D claims for 165 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.