JOSE JUAN CHAVAC RODAS
NPI 1174232896
Nurse Practitioner - Acute Care in Melbourne, FL

Q: What is Jose Chavac Rodas's NPI number?

The NPI number for Jose Chavac Rodas is 1174232896. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Q: What is Jose Chavac Rodas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jose Chavac Rodas was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 21, 2022PECOS EnrolledAccepts Medicare Assignment

1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1401(321) 434-1667 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 21, 2023, Jan 10, 2023, Dec 19, 2022 and 2 more (5 updates tracked since 2022).

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About Jose Juan Chavac Rodas NPPES

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

JOSE JUAN CHAVAC RODAS (NPI 1174232896) is an individual acute care provider in Melbourne, Florida, licensed in Florida (APR11023149) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174232896

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJOSE JUAN CHAVAC RODAS

Location Address1350 HICKORY STMelbourne, FL 32901-3224

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-1401 · Fax (321) 434-1667

Phone(321) 434-1401

Fax(321) 434-1667

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 21, 2022

Last NPPES UpdateFebruary 21, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2023

✔ NPI 1174232896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · APR11023149

1350 HICKORY ST, Melbourne, FL 32901

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Other Identifiers 3

OtherQA194FL · Medicare Hfpsi

OtherQA196FL · Medicare Hfmg

Medicaid116517200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Jose Juan Chavac Rodas 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 ID5294105201

PECOS Enrollment IDI20230110000101

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

72 services70 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

68 services66 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

TOMOR SEDALIU

Hospitalist