JENNIFER GARCIA RODRIGUEZ
NPI 1184123788
Nurse Practitioner - Family in Goodyear, AZ

Active since February 08, 2018PECOS EnrolledAccepts Medicare Assignment
15749 W VERNON AVE, GOODYEAR, AZ 85395(602) 810-5178 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Garcia Rodriguez NPPES

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

JENNIFER GARCIA RODRIGUEZ (NPI 1184123788) is an individual family provider in Goodyear, Arizona, licensed in Arizona (AP10914) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184123788
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER GARCIA RODRIGUEZ
Location Address15749 W VERNON AVEGoodyear, AZ 85395-7534
Mailing Address15749 W Vernon AveGoodyear, AZ 85395-7534 · (602) 810-5178
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 8, 2018
Last NPPES UpdateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1184123788 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 AZ · AP10914
15749 W VERNON AVE, Goodyear, AZ 85395

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Garcia Rodriguez 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 ID1456616721
PECOS Enrollment IDI20180607002626
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Garcia Rodriguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
15749 W VERNON AVE
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
Family
1325 S 123RD DR
Avondale, AZ 85323
  • Reassigned Medicare billing, Arizona enrollment
Family Medicine
2836 E INDIAN SCHOOL RD STE A8
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment

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 85395 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

Nurse Practitioner (Family)
15749 W VERNON AVE
GOODYEAR, AZ 85395

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 Jennifer Garcia Rodriguez's NPI number?

The NPI number for Jennifer Garcia Rodriguez is 1184123788. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Where is Jennifer Garcia Rodriguez located?

Jennifer Garcia Rodriguez practices at 15749 W Vernon Ave, Goodyear, AZ 85395. The listed phone number is (602) 810-5178.

What is Jennifer Garcia Rodriguez's specialty?

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

Is Jennifer Garcia Rodriguez enrolled in Medicare?

Yes. Jennifer Garcia 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.

Which organizations bill Medicare for Jennifer Garcia Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Garcia Rodriguez reassigns Medicare benefits to 3 organizations: Palm Valley Medical Services, LLC (Goodyear, AZ), Woundwise LLC (Avondale, AZ) and Premier Wound Care Az LLC (Phoenix, AZ). Each 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 Jennifer Garcia 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 Jennifer Garcia Rodriguez was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.