MRS. MARTINE BURDETT RODGERS FNP-C
NPI 1104292705
Nurse Practitioner - Family in Plymouth, MN

Active since August 18, 2015PECOS Enrolled
3033 CAMPUS DR STE W225, PLYMOUTH, MN 55441(415) 504-3838(415) 504-1367 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2022, Jan 24, 2017 (2 updates tracked since 2017).

About Mrs. Martine Burdett Rodgers Fnp-c NPPES

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

MRS. MARTINE BURDETT RODGERS FNP-C (NPI 1104292705) is an individual family provider in Plymouth, Minnesota, licensed in California (95002910) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104292705
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARTINE BURDETT RODGERSCredential: FNP-C
Location Address3033 CAMPUS DR STE W225Plymouth, MN 55441-2752
Mailing Address3033 Campus Dr Ste W225Plymouth, MN 55441-2752 · (415) 504-3838 · Fax (415) 504-1367
Fax(415) 504-1367
Sole ProprietorNo
Enumeration DateAugust 18, 2015
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
NPI 1104292705 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 CA · 95002910
3033 CAMPUS DR STE W225, Plymouth, MN 55441

Other Identifiers 1

Medicaid016918600FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Martine Burdett Rodgers Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55441 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
3033 CAMPUS DR STE W225
PLYMOUTH, MN 55441
Internal Medicine
3033 CAMPUS DR STE W225
PLYMOUTH, MN 55441
Counselor
3033 CAMPUS DR STE W225
MINNEAPOLIS, MN 55441
Psychologist (Clinical)
3033 CAMPUS DR STE W225
PLYMOUTH, MN 55441

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 Martine Rodgers's NPI number?

The NPI number for Martine Rodgers is 1104292705. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Martine Rodgers located?

Martine Rodgers practices at 3033 Campus Dr Ste W225, Plymouth, MN 55441. The listed phone number is (415) 504-3838.

What is Martine Rodgers's specialty?

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

Is Martine Rodgers enrolled in Medicare?

Yes. Martine Rodgers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Martine Rodgers was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.