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AMANDA RODERIQUE RN
NPI 1831997899
Nurse Practitioner - Family in Salem, VA

Active since March 05, 2025PECOS EnrolledAccepts Medicare Assignment
218 W MAIN ST, SALEM, VA 24153(540) 389-0909 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Mar 5, 2025 (2 updates tracked since 2025).

About Amanda Roderique Rn NPPES

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

AMANDA RODERIQUE RN (NPI 1831997899) is an individual family provider in Salem, Virginia, licensed in Virginia (0001309056) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1831997899
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA RODERIQUECredential: RN
Location Address218 W MAIN STSalem, VA 24153-3614
Mailing Address414 Highland Ave SwRoanoke, VA 24016-4214 · (434) 221-5440
Phone(540) 389-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 5, 2025
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1831997899 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 VA · 0001309056
218 W MAIN ST, Salem, VA 24153
Open in Google Maps ↗

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

Amanda Roderique Rn 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 ID4082198866
PECOS Enrollment IDI20260319001668
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 24153 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

STARKEY SKIN LLC
Family Medicine
218 W MAIN ST
SALEM, VA 24153
Salem City (540) 389-0110
MRS. COLLEEN FRANCES RUTLEDGE NURSE PRACTITIONER
Nurse Practitioner (Family)
218 W MAIN ST
SALEM, VA 24153
Salem City (540) 389-0110

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 Amanda Roderique's NPI number?

The NPI number for Amanda Roderique is 1831997899. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Amanda Roderique located?

Amanda Roderique practices at 218 W Main St, Salem, VA 24153. The listed phone number is (540) 389-0909.

What is Amanda Roderique's specialty?

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

Is Amanda Roderique enrolled in Medicare?

Yes. Amanda Roderique 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 Amanda Roderique was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.