Active NPI 1811937907 Individual Practitioner Female Practitioner

Rachel Alison Roach , NP

Nurse Practitioner - Gerontology • Pawtucket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rachel Roach, NP is a certified Nurse Practitioner - Gerontology practicing in Pawtucket, RI. With approximately 28 years of clinical experience since completing medical education in 1998, Rachel Roach delivers high-quality medical care to the local community at 407 EAST AVE.

Rachel Roach is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

407 East Ave
Suite 110

Pawtucket, RI 028605299

Telephone 4017287270

Fax 4017286453

Associated Practice Facility / Clinic

🏢 Awcri Medical Group, Inc. Facility NPI 1609945252

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Pawtucket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +14.0 yrs vs City Avg

City Avg: 14.0 Yrs

State Avg: 8.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Pawtucket, RI (71 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roach (28 Years) 28 Yrs

Pawtucket Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	59	$312.00	$109.33
99221 Initial hospital inpatient care per day, typically 30 minutes	56	51	$232.00	$69.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	23	$425.00	$154.54
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	15	12	$411.00	$157.01
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	15	14	$296.00	$107.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$165.00	$65.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$312.00	$111.63
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$232.00	$71.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	23	$165.00	$67.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$458.00	$148.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	11	$237.00	$102.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	12	$89.00	$42.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	59	$312.52	$116.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	28	$165.74	$61.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$462.22	$171.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	19	$89.15	$33.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$240.64	$88.90
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$232.47	$87.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	35	$172.00	$63.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	54	$323.00	$119.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$477.00	$175.94
99443 Telephone medical discussion with physician, 21-30 minutes	26	18	$166.00	$103.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$93.00	$33.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	35	$257.00	$95.52
99442 Telephone medical discussion with physician, 11-20 minutes	46	29	$65.61	$63.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$488.00	$184.79
99443 Telephone medical discussion with physician, 21-30 minutes	26	19	$98.00	$93.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$477.00	$179.02
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$176.00	$66.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	19	$172.00	$63.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	15	$257.00	$95.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$323.00	$120.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$477.00	$177.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	94	31	$297.00	$112.04
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	52	26	$411.00	$155.04
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	36	36	$510.00	$192.54

Medical Specialties & State Licenses

CMS Verified: 2025-08-08

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License RI APRN01016

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License CT 7922

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9002757 (RI)

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4017377000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Timothy Farrell , MD

Family Medicine

NPI 1306959747

Doctor of Medicine (M.D.)

Dr. John Murphy , MD

Family Medicine - Geriatric Medicine

NPI 1336189406

Doctor of Medicine (M.D.)

Dr. Lisa Bob , MD

Family Medicine - Geriatric Medicine

NPI 1598721656

Doctor of Medicine (M.D.)

Dr. Lidia Vognar , MD

Internal Medicine - Geriatric Medicine

NPI 1912148198

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address August 08, 2025

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4012730641)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2025

Nurse Practitioner (License #7922 in CT)

✅

NPI Profile Active November 15, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2007

Registered at 407 EAST AVE, SUITE 110, PAWTUCKET, RI 028605299 (Tel: 4017287270)

📍

Updated Business Mailing Address November 15, 2007

Registered at PO BOX 1358, PROVIDENCE, RI 029011358

👤

Provider Name / Credentials Updated November 15, 2007

Recorded as RACHEL ROACH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2007

Nurse Practitioner (License #NPP28320 in RI)

🟢

Initial NPI Registration & Enumeration June 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811937907

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 07, 2006

Last Update: August 08, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4012730641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.