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LUCIA RODERIQUE
NPI 1245953595
Advanced Practice Midwife in Brooklyn, NY

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
109 MONTAGUE ST, BROOKLYN, NY 11201(718) 400-8339 Get Directions Write a Review

NPPES record last updated: August 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2026, Sep 9, 2024, Jul 10, 2023 and 1 more (4 updates tracked since 2022).

About Lucia Roderique NPPES

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

LUCIA RODERIQUE (NPI 1245953595) is an individual advanced practice midwife in Brooklyn, New York, licensed in New York (F002495-01) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2022).

NPPES Registry Identity

NPI1245953595
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLUCIA RODERIQUE
Location Address109 MONTAGUE STBrooklyn, NY 11201-3437
Mailing Address109 Montague StBrooklyn, NY 11201-3437
Phone(718) 400-8339
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2022
Enumeration DateSeptember 21, 2022
Last NPPES UpdateAugust 15, 20264 updates tracked since enumeration
NPPES CertifiedAugust 15, 2026
✔ NPI 1245953595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NY · F002495-01
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
109 MONTAGUE ST, Brooklyn, NY 11201
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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 and accepts Medicare assignment

Lucia Roderique 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 ID8426497512
PECOS Enrollment IDI20240423000899
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 Reassignments

2

Medicare enrollment records show Lucia Roderique reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Side Community Health Services, Inc.
1,009 mi
Federally Qualified Health Center (FQHC)
1540 6TH ST E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 101 clinicians in this Medicare group
NPI 1881887032 (651) 778-2884
Park Nicollet Clinic
1,020 mi
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1912315144 (952) 977-0700

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 11201 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTAGUE URGENT MEDICAL CARE P.C
Clinic/Center (Urgent Care)
109 MONTAGUE ST
BROOKLYN, NY 11201
Kings County (212) 242-4333
LOWER MANHATTAN MEDICAL CARE PC
Obstetrics & Gynecology (Obstetrics)
109 MONTAGUE ST
BROOKLYN, NY 11201
Kings County (718) 400-8339
KATHRYN SIGLER CNM
Advanced Practice Midwife
109 MONTAGUE ST
BROOKLYN, NY 11201
Kings County (718) 400-8339
OLGA MARIA RODAS M.D.
Obstetrics & Gynecology
109 MONTAGUE ST
BROOKLYN HEIGHTS, NY 11201
Kings County (718) 400-8339
SAONJIE FAYOLA HAMILTON CNM
Midwife
109 MONTAGUE ST
BROOKLYN, NY 11201
Kings County (718) 400-8339

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 Lucia Roderique's NPI number?

The NPI number for Lucia Roderique is 1245953595. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Lucia Roderique located?

Lucia Roderique practices at 109 Montague St, Brooklyn, NY 11201. The listed phone number is (718) 400-8339.

What is Lucia Roderique's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lucia Roderique enrolled in Medicare?

Yes. Lucia Roderique 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 Lucia Roderique's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucia Roderique reassigns Medicare benefits to 2 organizations: West Side Community Health Services, Inc. (Saint Paul, MN) and Park Nicollet Clinic (Minneapolis, MN). 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 Lucia Roderique'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 Lucia Roderique was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.