MACY RODERICK PA
NPI 1922776897
Physician Assistant in Wakefield, RI

Q: What is Macy Roderick's NPI number?

The NPI number for Macy Roderick is 1922776897. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Q: What is Macy Roderick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Macy Roderick was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 03, 2021PECOS Enrolled

100 KENYON AVE, WAKEFIELD, RI 02879(401) 782-8000 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Jul 7, 2023, Dec 17, 2021 (3 updates tracked since 2021).

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About Macy Roderick Pa NPPES

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

MACY RODERICK PA (NPI 1922776897) is an individual physician assistant in Wakefield, Rhode Island, licensed in Rhode Island (PA01394) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1922776897

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMACY RODERICKCredential: PA

Location Address100 KENYON AVEWakefield, RI 02879-4216

Mailing Address770 Kapiolani BlvdHonolulu, HI 96813-5212 · (808) 597-8791

Phone(401) 782-8000

Sole ProprietorNo

Enumeration DateSeptember 3, 2021

Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1922776897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in RI · PA01394✔ Licensed in HI · AMD-1238

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 KENYON AVE, Wakefield, RI 02879

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Secondary Practice Location 1

Location 1770 Kapiolani BlvdHonolulu, HI 96813-5212 · Phone (808) 597-8791

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Macy Roderick Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

60 services60 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

28 services28 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

JILL VOLK D.O.

Emergency Medicine