ERIK BORODEMOS MSN, APRN, PMHNP-BC
NPI 1750036471
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Q: What is Erik Borodemos's NPI number?

The NPI number for Erik Borodemos is 1750036471. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Q: What is Erik Borodemos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Erik Borodemos was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 22, 2022PECOS EnrolledAccepts Medicare Assignment

520 HOPE ST, PROVIDENCE, RI 02906(401) 677-8545 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Jun 24, 2025, Feb 22, 2022 (3 updates tracked since 2022).

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About Erik Borodemos Msn, Aprn, Pmhnp-bc NPPES

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

ERIK BORODEMOS MSN, APRN, PMHNP-BC (NPI 1750036471) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN04619) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750036471

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameERIK BORODEMOSCredential: MSN, APRN, PMHNP-BC

Location Address520 HOPE STProvidence, RI 02906-2532

Mailing Address520 Hope StProvidence, RI 02906-2532

Phone(401) 677-8545

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 22, 2022

Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1750036471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in RI · APRN04619

Also ListedRegistered NurseTaxonomy 163W00000X · License RN55420 (RI)

520 HOPE ST, Providence, RI 02906

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Highland AveProvidence, RI 02906-2740 · Phone (401) 383-5051

Location 2355 Prairie AveProvidence, RI 02905-1928 · Phone (401) 921-8649

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

Erik Borodemos Msn, Aprn, Pmhnp-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 ID749797504

PECOS Enrollment IDI20250728000188

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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 20

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

KATELYN ANN WILLIAMS M.A., CCC-SLP

Speech-Language Pathologist