MIA ROBERNETTE TAIT FNP-C
NPI 1376193094
Nurse Practitioner - Family in Woonsocket, RI
About Mia Robernette Tait Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIA ROBERNETTE TAIT FNP-C (NPI 1376193094) is an individual family provider in Woonsocket, Rhode Island, licensed in Mississippi (864476) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moss Point.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mia Robernette Tait Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mia Tait reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 180 clinicians in this Medicare group
New Orleans, LA 70125
- Reassigned Medicare billing, Louisiana enrollment
- Medicare enrollment name: Minuteclinic Diagnostic Of Louisiana, L.L.C.
- 25 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02895 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.
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 Mia Tait's NPI number?
The NPI number for Mia Tait is 1376193094. It was assigned to this individual provider in the NPPES registry on September 14, 2019. The provider is also known as Mia Robernette James.
Where is Mia Tait located?
Mia Tait practices at 1 CVS Dr, Woonsocket, RI 02895. The listed phone number is (401) 581-6303.
What is Mia Tait's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mia Tait enrolled in Medicare?
Yes. Mia Tait is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mia Tait's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mia Tait reassigns Medicare benefits to 2 organizations: Mdb Behavioral Health Services LLC (Vicksburg, MS) and Minuteclinic Diagnostic Of Louisiana, LLC (New Orleans, LA). 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 Mia Tait'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 Mia Tait was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mia Robernette Tait, FNP-C · NPI 1376193094
Family physician in Woonsocket, Rhode Island. Individual provider, active in the CMS NPPES registry since September 14, 2019.
## Identity
- **NPI:** 1376193094 (Entity type: Individual)
- **Enumerated:** September 14, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 864476 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CVS DR, Woonsocket, RI 02895-6195
- **Phone:** (401) 581-6303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Mdb Behavioral Health Services LLC (NPI 1669835310, Vicksburg, MS); Minuteclinic Diagnostic Of Louisiana, LLC (NPI 1285975482, New Orleans, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376193094) · Data from the CMS NPPES public registry.