CELENIA ELAINE RODRIGUEZ NP
NPI 1174403828
Nurse Practitioner in San Bernardino, CA
About Celenia Elaine Rodriguez Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CELENIA ELAINE RODRIGUEZ NP (NPI 1174403828) is an individual nurse practitioner in San Bernardino, California, licensed in California (95037009) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Celenia Elaine Rodriguez Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Celenia Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Celenia Rodriguez's NPI number?
The NPI number for Celenia Rodriguez is 1174403828. It was assigned to this individual provider in the NPPES registry on September 4, 2025.
Where is Celenia Rodriguez located?
Celenia Rodriguez practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 881-7320.
What is Celenia Rodriguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Celenia Rodriguez enrolled in Medicare?
Yes. Celenia Rodriguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Celenia Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Celenia Rodriguez reassigns Medicare benefits to San Marcos Medical Group Inc (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Celenia Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Celenia Rodriguez was last updated on November 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Celenia Elaine Rodriguez, NP · NPI 1174403828
Nurse Practitioner physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since September 4, 2025.
## Identity
- **NPI:** 1174403828 (Entity type: Individual)
- **Enumerated:** September 4, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95037009 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 742 W HIGHLAND AVE, San Bernardino, CA 92405-3839
- **Phone:** (909) 881-7320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** San Marcos Medical Group Inc (NPI 1447446448, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174403828) · Data from the CMS NPPES public registry.