JORDAN E LIZOTTE I R-NP
NPI 1265170492
Nurse Practitioner - Family in Johnston, RI

Q: What is Jordan Lizotte's NPI number?

The NPI number for Jordan Lizotte is 1265170492. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is Jordan Lizotte's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Lizotte was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2022PECOS Enrolled

1524 ATWOOD AVE STE 220, JOHNSTON, RI 02919(401) 273-9400 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2023, May 26, 2022 (2 updates tracked since 2022).

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About Jordan E Lizotte I R-np NPPES

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

JORDAN E LIZOTTE I R-NP (NPI 1265170492) is an individual family provider in Johnston, Rhode Island, licensed in Rhode Island (APRN03400) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265170492

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJORDAN E LIZOTTE ICredential: R-NP

Location Address1524 ATWOOD AVE STE 220Johnston, RI 02919

Mailing Address1524 Atwood Ave, Ste 220Johnston, RI 02919 · (401) 272-1900 · Fax (401) 453-3049

Phone(401) 273-9400

Sole ProprietorNo

Enumeration DateMay 26, 2022

Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1265170492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in RI · APRN03400

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2329839 (MA)

1524 ATWOOD AVE STE 220, Johnston, RI 02919

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan E Lizotte I R-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02919 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 14

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

SUSAN PATRICIA MCKENNA NP

Nurse Practitioner (Acute Care)