GLORIA A RODRIGUEZ AGNP
NPI 1114565835
Nurse Practitioner - Gerontology in Saint Louis, MO

Q: What is Gloria Rodriguez's NPI number?

The NPI number for Gloria Rodriguez is 1114565835. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Q: What is Gloria Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Rodriguez was last updated on March 15, 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.

Active since December 12, 2019PECOS EnrolledAccepts Medicare Assignment

11155 DUNN RD STE 109N, SAINT LOUIS, MO 63136(314) 953-8799(314) 953-8798 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2021, Dec 12, 2019 (2 updates tracked since 2019).

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About Gloria A Rodriguez Agnp NPPES

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

GLORIA A RODRIGUEZ AGNP (NPI 1114565835) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2019020198) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114565835

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameGLORIA A RODRIGUEZCredential: AGNP

Location Address11155 DUNN RD STE 109NSaint Louis, MO 63136-6148

Mailing Address11155 Dunn Rd Ste 109nSaint Louis, MO 63136-6148 · (314) 953-8799 · Fax (314) 953-8798

Phone(314) 953-8799

Fax(314) 953-8798

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 12, 2019

Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration

NPPES CertifiedMarch 15, 2021

✔ NPI 1114565835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MO · 2019020198

11155 DUNN RD STE 109N, Saint Louis, MO 63136

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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

Gloria A Rodriguez Agnp 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 ID5890123541

PECOS Enrollment IDI20200312001004

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

92 services91 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 11

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

DR. RABIA ASGHAR M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)