JANET R. ENCARNACION MD
NPI 1144244963
Family Medicine in Providence, RI
About Janet R. Encarnacion Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANET R. ENCARNACION MD (NPI 1144244963) is an individual family medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD17774) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Janet R. Encarnacion Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Janet Encarnacion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 112 clinicians in this Medicare group
Attleboro, MA 02703
- Reassigned Medicare billing, Massachusetts enrollment
- 38 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02904 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02904
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 Janet Encarnacion's NPI number?
The NPI number for Janet Encarnacion is 1144244963. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Janet Encarnacion located?
Janet Encarnacion practices at 530 N Main St, Providence, RI 02904. The listed phone number is (401) 415-9500.
What is Janet Encarnacion's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Janet Encarnacion enrolled in Medicare?
Yes. Janet Encarnacion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Janet Encarnacion's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Janet Encarnacion reassigns Medicare benefits to 2 organizations: The Providence Community Health Centers, Inc (Providence, RI) and Patriot Urgent Care Professionals PC (Attleboro, MA). Each 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 Janet Encarnacion'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 Janet Encarnacion was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Janet R. Encarnacion, MD · NPI 1144244963
Family Medicine physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1144244963 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD17774 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 N MAIN ST, Providence, RI 02904-5762
- **Phone:** (401) 415-9500 · **Fax:** (401) 415-9515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Providence Community Health Centers, Inc (NPI 1053313593, Providence, RI); Patriot Urgent Care Professionals PC (NPI 1356159172, Attleboro, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** January 12, 2024
- **Other identifiers:** Medicaid 208933003 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1144244963) · Data from the CMS NPPES public registry.