MARGARITA RODRIGUEZ FNP
NPI 1023348166
Nurse Practitioner - Family in Weslaco, TX

Active since January 13, 2010PECOS EnrolledAccepts Medicare Assignment
87.38/100
CMS Quality Rating
1604 E 8TH ST, SUITE A, WESLACO, TX 78596(956) 447-5557(956) 447-5747 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Margarita Rodriguez Fnp NPPES

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

MARGARITA RODRIGUEZ FNP (NPI 1023348166) is an individual family provider in Weslaco, Texas, licensed in Texas (117148) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1023348166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARGARITA RODRIGUEZCredential: FNP
Location Address1604 E 8TH ST, SUITE AWeslaco, TX 78596-5587
Mailing Address1604 E 8th St, Suite AWeslaco, TX 78596-5587 · (956) 447-5557 · Fax (956) 447-5747
Fax(956) 447-5747
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 13, 2010
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1023348166 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 TX · 117148
1604 E 8TH ST, Weslaco, TX 78596

Accepted Insurance

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

Margarita Rodriguez 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 ID8729123450
PECOS Enrollment IDI20100305000802
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Therapy procedure using a positive pressure ventilator 94660
A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78596 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.14
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
16%207 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
1%346 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
48%69 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%39 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%39 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%621 patients4/55-star benchmark: 100%
e-Prescribing
98%430 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
4%202 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%446 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%379 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 419 patients
Patients screened: 96% · 419 patients
43%28 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
44%438 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 214 patients
Patients totalRate: 3% · 214 patients
3%214 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers14 claims14 services$33.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers20 claims20 services$70.67 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers23 claims60 services$26.14 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers28 claims54 services$13.08 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers27 claims27 services$44.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers35 claims35 services$14.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1604 E 8TH ST, SUITE A
WESLACO, TX 78596
Internal Medicine (Pulmonary Disease)
1604 E 8TH ST, SUITE A
WESLACO, TX 78596
Internal Medicine (Pulmonary Disease)
1604 E 8TH ST, SUITE A
WESLACO, TX 78596
Obstetrics & Gynecology
1604 E 8TH ST, SUITE B
WESLACO, TX 78596
Internal Medicine (Pulmonary Disease)
1604 E 8TH ST, SUITE A
WESLACO, TX 78596
Internal Medicine (Pulmonary Disease)
1604 E 8TH ST, SUITE A
WESLACO, TX 78596

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 Margarita Rodriguez's NPI number?

The NPI number for Margarita Rodriguez is 1023348166. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Margarita Rodriguez located?

Margarita Rodriguez practices at 1604 E 8th St Suite A, Weslaco, TX 78596. The listed phone number is (956) 447-5557.

What is Margarita Rodriguez's specialty?

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

Is Margarita Rodriguez enrolled in Medicare?

Yes. Margarita Rodriguez 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.

What insurance does Margarita Rodriguez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Margarita Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Margarita Rodriguez affiliated with any hospitals?

According to CMS data, Margarita Rodriguez is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Margarita Rodriguez was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.