CHARLOTTE CRIDER
NPI 1063152916
Family Medicine in Pawtucket, RI
About Charlotte Crider NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLOTTE CRIDER (NPI 1063152916) is an individual family medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD20801) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Pawtucket.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlotte Crider is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charlotte Crider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pawtucket, RI 02860
- Reassigned Medicare billing, Rhode Island enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charlotte Crider's NPI number?
The NPI number for Charlotte Crider is 1063152916. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Charlotte Crider located?
Charlotte Crider practices at 42 Park Pl, Pawtucket, RI 02860. The listed phone number is (401) 722-0081.
What is Charlotte Crider's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Charlotte Crider enrolled in Medicare?
Yes. Charlotte Crider is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charlotte Crider's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Crider reassigns Medicare benefits to Blackstone Valley Community Health Care, Inc. (Pawtucket, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlotte Crider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Charlotte Crider affiliated with any hospitals?
According to CMS data, Charlotte Crider is affiliated with The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Charlotte Crider was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charlotte Crider · NPI 1063152916
Family Medicine physician in Pawtucket, Rhode Island. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1063152916 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD20801 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 42 PARK PL, Pawtucket, RI 02860-4010
- **Phone:** (401) 722-0081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Blackstone Valley Community Health Care, Inc. (NPI 1063574135, Pawtucket, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063152916) · Data from the CMS NPPES public registry.