MS. JOANNE ELIZABETH RODITAKIS FNP
NPI 1861528895
Nurse Practitioner - Family in Providence, RI

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4005 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Joanne Elizabeth Roditakis Fnp NPPES

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

MS. JOANNE ELIZABETH RODITAKIS FNP (NPI 1861528895) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (NPP32221) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1861528895
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JOANNE ELIZABETH RODITAKISCredential: FNP
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing Address1284 County Street Unit #8Attleboro, MA 02703-3523 · (774) 254-3993
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMay 20, 2016
NPI 1861528895 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 RI · NPP32221
164 SUMMIT AVE, Providence, RI 02906

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

Ms. Joanne Elizabeth Roditakis Fnp 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 ID8022240589
PECOS Enrollment IDI20161117002339
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.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

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.

Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906

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 Joanne Roditakis's NPI number?

The NPI number for Joanne Roditakis is 1861528895. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Joanne Roditakis located?

Joanne Roditakis practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-4005.

What is Joanne Roditakis's specialty?

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

Is Joanne Roditakis enrolled in Medicare?

Yes. Joanne Roditakis 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.

Is Joanne Roditakis affiliated with any hospitals?

According to CMS data, Joanne Roditakis is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Joanne Roditakis was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.