JANET R. ENCARNACION MD
NPI 1144244963
Family Medicine in Providence, RI

Q: 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.

Q: What is Janet Encarnacion's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: 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.

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment

530 N MAIN ST, PROVIDENCE, RI 02904(401) 415-9500(401) 415-9515 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1144244963

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJANET R. ENCARNACIONCredential: MD

Location Address530 N MAIN STProvidence, RI 02904-5762

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 780-2511 · Fax (401) 780-2565

Phone(401) 415-9500

Fax(401) 415-9515

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1997

Enumeration DateJuly 26, 2006

Last NPPES UpdateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1144244963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in RI · MD17774✔ Licensed in MO · MD112761✔ Licensed in MA · 230283

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

530 N MAIN ST, Providence, RI 02904

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Other Identifiers 1

Medicaid208933003MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3476554288

PECOS Enrollment IDI20070122000553, I20210714000602

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.

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.

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

26 services18 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

22 services16 patients

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.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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.

OLIVIA MEUNIER MA

Counselor