NICHOLAS RODRIGUE PNP-C
NPI 1740768365
Nurse Practitioner - Pediatrics in Springfield, MA

Active since August 06, 2018PECOS EnrolledAccepts Medicare Assignment
1049 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100(413) 735-1133 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2022, Nov 30, 2018, Aug 6, 2018 (3 updates tracked since 2018).

About Nicholas Rodrigue Pnp-c NPPES

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

NICHOLAS RODRIGUE PNP-C (NPI 1740768365) is an individual pediatrics provider in Springfield, Massachusetts, licensed in Connecticut (7924) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740768365
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameNICHOLAS RODRIGUECredential: PNP-C
Location Address1049 MAIN STSpringfield, MA 01103-2114
Mailing Address21 Mount Tom AveEasthampton, MA 01027-2350 · (617) 949-9110
Fax(413) 735-1133
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 6, 2018
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1740768365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in CT · 7924 Licensed in MA · RN2291141
1049 MAIN ST, Springfield, MA 01103

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

Nicholas Rodrigue Pnp-c 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 ID4587901483
PECOS Enrollment IDI20190131000589, I20260303000696
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 01103 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Social Worker (Clinical)
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacy (Community/Retail Pharmacy)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103
Dentist
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacist
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103

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 Nicholas Rodrigue's NPI number?

The NPI number for Nicholas Rodrigue is 1740768365. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Nicholas Rodrigue located?

Nicholas Rodrigue practices at 1049 Main St, Springfield, MA 01103. The listed phone number is (413) 739-1100.

What is Nicholas Rodrigue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nicholas Rodrigue enrolled in Medicare?

Yes. Nicholas Rodrigue 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.

When was this NPI record last updated?

The NPPES record for Nicholas Rodrigue was last updated on September 22, 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.