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MELISSA RODERICK NP
NPI 1134057482
Nurse Practitioner - Family in Pembroke, MA

Active since May 08, 2026PECOS Enrolled
125 CHURCH ST STE 170, PEMBROKE, MA 02359(617) 750-7283 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa Roderick Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA RODERICK NP (NPI 1134057482) is an individual family provider in Pembroke, Massachusetts, licensed in Massachusetts (RN2342677) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1134057482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA RODERICKCredential: NP
Location Address125 CHURCH ST STE 170Pembroke, MA 02359-1952
Mailing Address125 Church St Ste 170Pembroke, MA 02359-1952
Phone(617) 750-7283
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1134057482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2342677
125 CHURCH ST STE 170, Pembroke, MA 02359
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Roderick Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507336872
PECOS Enrollment IDI20260528000249
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Roderick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rohit Rattan MD PLLC
26 mi
Internal Medicine
736 CAMBRIDGE ST # 6TH6201
Boston, MA 02135
  • Reassigned Medicare billing, Massachusetts enrollment
  • 13 clinicians in this Medicare group
NPI 1780396937 (617) 750-7283

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02359 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Melissa Roderick's NPI number?

The NPI number for Melissa Roderick is 1134057482. It was assigned to this individual provider in the NPPES registry on May 8, 2026.

Where is Melissa Roderick located?

Melissa Roderick practices at 125 Church St Ste 170, Pembroke, MA 02359. The listed phone number is (617) 750-7283.

What is Melissa Roderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Roderick enrolled in Medicare?

Yes. Melissa Roderick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Roderick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Roderick reassigns Medicare benefits to Rohit Rattan MD PLLC (Boston, MA). 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 Melissa Roderick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Roderick was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.