MRS. TERA MARIE MAE RODRIGUEZ IPHM
NPI 1063356152
Case Manager/Care Coordinator in Kiel, WI

NPI Status: Active since April 17, 2026

Contact Information

620 12TH ST LOT 9C
KIEL, WI
ZIP 53042
Phone: (920) 571-7269

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About TERA MARIE RODRIGUEZ

This page provides the complete NPI Profile along with additional information for Tera Marie Rodriguez, a provider established in Kiel, Wisconsin with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1063356152 assigned on April 2026. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1063356152
Provider Name
MRS. TERA MARIE MAE RODRIGUEZ IPHM
Gender
Female
Entity Type
Individual
Location Address
620 12TH ST LOT 9C KIEL, WI 53042
Location Phone
(920) 571-7269
Mailing Address
620 12TH ST LOT 9C KIEL, WI 53042
Mailing Phone
(920) 571-7269
Is Sole Proprietor?
Yes
Enumeration Date
04-17-2026
Last Update Date
05-02-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License State
WI
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

RBT-24-377640 (WI)
2171400000XOther Service Providers

Health and Wellness Coach

 
3175T00000XOther Service Providers

Peer Specialist

(WI)
4251S00000XAgencies

Community/Behavioral Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100413504MEDICAID (05)WI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063356152, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 3 → 6 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 6 + 5 + 1 + 2 + 1 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1063356152.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063356152, enumerated as an "individual" on April 17, 2026.

The provider is located at 620 12TH ST LOT 9C KIEL, WI 53042 and the phone number is (920) 571-7269.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.