EDITH AVIGAIL GONZALEZ RODRIGUEZ FNP-BC
NPI 1043170731
Nurse Practitioner - Family in San Antonio, TX

Q: What is Edith Gonzalez Rodriguez's NPI number?

The NPI number for Edith Gonzalez Rodriguez is 1043170731. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Q: What is Edith Gonzalez Rodriguez's specialty?

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

Active since November 14, 2025PECOS EnrolledAccepts Medicare Assignment

3611 JAGUAR PKWY, SAN ANTONIO, TX 78224(726) 236-9560(210) 702-6896 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Jan 5, 2026, Dec 4, 2025 and 1 more (4 updates tracked since 2025).

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About Edith Avigail Gonzalez Rodriguez Fnp-bc NPPES

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

EDITH AVIGAIL GONZALEZ RODRIGUEZ FNP-BC (NPI 1043170731) is an individual family provider in San Antonio, Texas, licensed in Texas (1006115) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043170731

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEDITH AVIGAIL GONZALEZ RODRIGUEZCredential: FNP-BC

Location Address3611 JAGUAR PKWYSan Antonio, TX 78224-3271

Mailing Address3611 Jaguar PkwySan Antonio, TX 78224-3271 · (726) 236-9570 · Fax (210) 702-6897

Phone(726) 236-9560

Fax(210) 702-6896

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 14, 2025

Last NPPES UpdateApril 27, 20264 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1043170731 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 · 1006115

3611 JAGUAR PKWY, San Antonio, TX 78224

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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

Edith Avigail Gonzalez Rodriguez Fnp-bc 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 ID5890287064

PECOS Enrollment IDI20251125001414

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78224 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.

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Other Providers at the Same Location NPPES 13

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

DR. DAVID EMMANUEL ALDRETE MD

Family Medicine