LISA M RODRIGUES FNP-BC
NPI 1639454572
Nurse Practitioner - Family in Providence, RI

Q: What is Lisa Rodrigues's NPI number?

The NPI number for Lisa Rodrigues is 1639454572. It was assigned to this individual provider in the NPPES registry on October 11, 2011. The provider is also known as Lisa M Farias Fnp-Bc.

Q: What is Lisa Rodrigues'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 Lisa Rodrigues was last updated on October 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 11, 2011PECOS EnrolledAccepts Medicare Assignment

110 ELMWOOD AVE, PROVIDENCE, RI 02907(401) 300-5757(401) 300-5656 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2023, Jan 5, 2021, Sep 10, 2018 (3 updates tracked since 2018).

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About Lisa M Rodrigues Fnp-bc NPPES

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

LISA M RODRIGUES FNP-BC (NPI 1639454572) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN02224) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1639454572

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA M RODRIGUESCredential: FNP-BC

Location Address110 ELMWOOD AVEProvidence, RI 02907-2423

Mailing Address110 Elmwood AveProvidence, RI 02907-2423 · (401) 300-5757 · Fax (401) 300-5656

Phone(401) 300-5757

Fax(401) 300-5656

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 11, 2011

Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1639454572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in RI · APRN02224✔ Licensed in MA · RN214014

110 ELMWOOD AVE, Providence, RI 02907

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Other Names 1

Former Name (1)Lisa M Farias Fnp-bc

Other Identifiers 1

Medicaid110101456AMA

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

Lisa M Rodrigues Fnp-bc 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 ID3476728858

PECOS Enrollment IDI20220107001899

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 02907 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.

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Other Providers at the Same Location NPPES 16

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

SUSAN H HART M.D.

Internal Medicine (Addiction Medicine)