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AVITA SLOPADOE
NPI 1669194536
Nurse Practitioner - Family in Tyngsboro, MA

Active since September 16, 2022PECOS Enrolled
4 LONGFELLOW LN APT 102, TYNGSBORO, MA 01879(978) 606-8429 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avita Slopadoe NPPES

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

AVITA SLOPADOE (NPI 1669194536) is an individual family provider in Tyngsboro, Massachusetts, licensed in Massachusetts (2021119096) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669194536
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAVITA SLOPADOE
Location Address4 LONGFELLOW LN APT 102Tyngsboro, MA 01879-2787
Mailing Address4 Longfellow Ln Apt 102Tyngsboro, MA 01879-2787 · (978) 606-8429
Phone(978) 606-8429
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
✔ NPI 1669194536 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
License✔ Licensed in MA · 2021119096
4 LONGFELLOW LN APT 102, Tyngsboro, MA 01879
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avita Slopadoe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870077746
PECOS Enrollment IDI20260318003150
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 01879 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Avita Slopadoe's NPI number?

The NPI number for Avita Slopadoe is 1669194536. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Where is Avita Slopadoe located?

Avita Slopadoe practices at 4 Longfellow Ln Apt 102, Tyngsboro, MA 01879. The listed phone number is (978) 606-8429.

What is Avita Slopadoe's specialty?

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

Is Avita Slopadoe enrolled in Medicare?

Yes. Avita Slopadoe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avita Slopadoe was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.