MR. FABIAN RODRIGUEZ NP
NPI 1174989115
Nurse Practitioner - Family in Fort Walton Beach, FL

Q: What is Fabian Rodriguez's NPI number?

The NPI number for Fabian Rodriguez is 1174989115. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Q: What is Fabian Rodriguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fabian Rodriguez was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 06, 2016Accepts Medicare Assignment

1005 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-8100(850) 863-8548 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, May 7, 2025, Jun 15, 2018 and 2 more (5 updates tracked since 2016).

On this page

About Mr. Fabian Rodriguez Np NPPES

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

MR. FABIAN RODRIGUEZ NP (NPI 1174989115) is an individual family provider in Fort Walton Beach, Florida, licensed in Florida (APRN11013610) and active in the NPI registry since January 2016. He is affiliated with Hca Florida Fort Walton-destin Hospital and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174989115

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. FABIAN RODRIGUEZCredential: NP

Location Address1005 MAR WALT DRFort Walton Beach, FL 32547-6707

Mailing Address1005 Mar Walt DrFort Walton Beach, FL 32547-6707 · (850) 863-8100 · Fax (850) 863-4152

Phone(850) 863-8100

Fax(850) 863-8548

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 6, 2016

Last NPPES UpdateJune 16, 20255 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1174989115 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 FL · APRN11013610

1005 MAR WALT DR, Fort Walton Beach, FL 32547

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Other Identifiers 1

Medicaid122221500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.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

Mr. Fabian Rodriguez Np 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 ID9739484924

PECOS Enrollment IDI20161101002339

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services41 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

35 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100223

Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers11 claims18 services$5.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PETER H SHIH M.D.

Internal Medicine (Critical Care Medicine)

1005 MAR WALT DR
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 243-0118

DR. TERRY L PAYNE M.D.

Family Medicine

1005 MAR WALT DR
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-6600

LESLIE MARIE ANDERSON LDN RD

Dietitian, Registered

1005 MAR WALT DR
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-6600

DR. KARL WALTER METZ M.D.

Obstetrics & Gynecology (Gynecology)

1005 MAR WALT DR, LABORATORY
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8109

WHITE-WILSON MEDICAL CENTER, P.A.

Family Medicine

1005 MAR WALT DR, FP DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-6600

BRIANNE FREEL

Nurse Practitioner (Family)

1005 MAR WALT DR
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-6600

MICHAEL ANDREW JOHNSON PA-C

Physician Assistant

1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8202

DR. THOMAS MANNING HOLT M.D.

Internal Medicine

1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8267

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 Fabian Rodriguez's NPI number?

The NPI number for Fabian Rodriguez is 1174989115. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Fabian Rodriguez located?

Fabian Rodriguez practices at 1005 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8100.

What is Fabian Rodriguez's specialty?

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

Is Fabian Rodriguez enrolled in Medicare?

Yes. Fabian Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fabian Rodriguez accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Fabian Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fabian Rodriguez affiliated with any hospitals?

According to CMS data, Fabian Rodriguez is affiliated with Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Fabian Rodriguez was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.