MEREDITH ROSE CAVANAGH (PA-C) – Medical Physician Assistant, NPI 1720651094

MEREDITH ROSE CAVANAGH (PA-C) is a healthcare provider. based in East providence, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01362 (RI). The NPI Number for MEREDITH ROSE CAVANAGH (PA-C) is 1720651094

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH ROSE CAVANAGH (PA-C)
NPI
1720651094
Phone
(401) 330-2480
Address
900 WARREN AVE STE 401
Enumeration Date
23 July 2021
Last Update Date
19 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4018840333
Graduation Year
2021 (5 years ago)
PAC ID
4082019039
Group Practice PAC ID
0345658316
Professional Enrollment ID
I20210830000889
Address ID
RI028181762EA1598XTRLX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for MEREDITH ROSE CAVANAGH (PA-C)

  • 900 WARREN AVE STE 401

    EAST PROVIDENCE, RI 029141430

    Phone: (401) 330-2480

    Fax: (401) 808-6329

    Type: Mailing

  • 16 MATHER AVE

    CRANSTON, RI 029053408

    Phone: (508) 455-8969

    Type: Mailing

  • 41 SANDERSON RD STE 103

    SMITHFIELD, RI 029172611

    Phone: (401) 349-0366

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210830000889IPhysician AssistantRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes167162$0
99214Established patient office or other outpatient visit, 30-39 minutes117112$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza8381$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3232$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)3232$0
View full utilization report →

Insurance plans in this area (ZIP 02914)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345658316View full group profile
NameSpecialtyState
Nurse PractitionerRI
Internal MedicineRI
Physician AssistantRI
Physician AssistantRI
Nurse PractitionerRI
Physician AssistantRI
Physician AssistantRI
Family PracticeRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

What number should I use to identify MEREDITH ROSE CAVANAGH (PA-C) for billing?
Administrative and clinical systems typically use NPI 1720651094 for MEREDITH ROSE CAVANAGH (PA-C).
Should I treat MEREDITH ROSE CAVANAGH (PA-C) as an active provider?
Patients and plans typically see MEREDITH ROSE CAVANAGH (PA-C) as active in the national extract.
What services align with MEREDITH ROSE CAVANAGH (PA-C)'s listing?
MEREDITH ROSE CAVANAGH (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MEREDITH ROSE CAVANAGH (PA-C)?
MEREDITH ROSE CAVANAGH (PA-C) is associated with East Providence, Rhode Island in the same public data insurers reference.
Who maintains MEREDITH ROSE CAVANAGH (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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