Individual provider Active NPI

Melissa Roderick, NP

  • Family Nurse Practitioner
  • Pembroke, MA
National Provider Identifier
1134057482
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2342677 Issued in MA
Practice address
125 Church St Ste 170
Pembroke, MA 02359-1952
Phone
(617) 750-7283
NPI assigned
May 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2342677 MA Primary

Addresses

Primary practice location

125 Church St Ste 170
Pembroke, MA 02359-1952

Mailing address

125 Church St Ste 170
Pembroke, MA 02359-1952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528000249 MA Practitioner - Nurse Practitioner 6507336872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Church St
Suite 170
Pembroke, MA 02359-4900

27 Cedar LN
Kingston, MA 02364-1744

3250 Lacey Rd
Suite 160
Downers Grove, IL 60515-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2342677MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rohit Rattan MD PLLC CurrentSince Apr 19, 2026 Accepting new patients

Locations

125 Church St
Ste 170
Pembroke, MA 02359
Phone (617) 750-7283

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1134057482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHURCH ST STE 170",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHURCH ST STE 170",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591952",
            "telephone_number": "617-750-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODERICK",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2342677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

Verify at the official NPI Registry.