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RODRIGO CARRASCO
NPI 1184264541
Physician Assistant in Shaw Afb, SC

Active since January 13, 2020PECOS EnrolledAccepts Medicare Assignment
420 POLIFKA DR, SHAW AFB, SC 29152(785) 240-5579 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Jan 13, 2020 (2 updates tracked since 2020).

About Rodrigo Carrasco NPPES

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

RODRIGO CARRASCO (NPI 1184264541) is an individual physician assistant in Shaw Afb, South Carolina and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2019).

NPPES Registry Identity

NPI1184264541
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRODRIGO CARRASCO
Location Address420 POLIFKA DRShaw Afb, SC 29152-5100
Mailing Address7560 Wolf Creek DrEl Paso, TX 79911-3143 · (850) 687-8290
Phone(785) 240-5579
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2019
Enumeration DateJanuary 13, 2020
Last NPPES UpdateNovember 25, 20242 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1184264541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
420 POLIFKA DR, Shaw Afb, SC 29152
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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

Rodrigo Carrasco 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 ID446766562
PECOS Enrollment IDI20250723004359
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.

Hospital Affiliations CMS Care Compare

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29152 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

MRS. MALLORY SMITH NP
Nurse Practitioner (Primary Care)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-2273
DESMOND JACOB MARROQUIN
Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 885-0249
ANA N CHAVIS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6466
VALERIE LUISA VILLANUEVA PA-C
Physician Assistant (Medical)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (038) 956-5428
REBECCA WILDER DPT
Physical Therapist
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-8658
MS. THERESA JEAN ULICHNEY CNP
Nurse Practitioner (Women's Health)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6812
MS. QUOTAICHI NACHION RAMBUS MSW; LISW
Social Worker (Clinical)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6356
PATTI E BUSSER
Social Worker
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6095

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 Rodrigo Carrasco's NPI number?

The NPI number for Rodrigo Carrasco is 1184264541. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Rodrigo Carrasco located?

Rodrigo Carrasco practices at 420 Polifka Dr, Shaw Afb, SC 29152. The listed phone number is (785) 240-5579.

What is Rodrigo Carrasco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rodrigo Carrasco enrolled in Medicare?

Yes. Rodrigo Carrasco 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.

Is Rodrigo Carrasco affiliated with any hospitals?

According to CMS data, Rodrigo Carrasco is affiliated with Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rodrigo Carrasco was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.