KELLEY ELIZABETH RODRIGUEZ APRN
NPI 1194609628
Nurse Practitioner - Acute Care in Little Rock, AR
About Kelley Elizabeth Rodriguez Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY ELIZABETH RODRIGUEZ APRN (NPI 1194609628) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (214237) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley Elizabeth Rodriguez Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelley Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 4 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 72205 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
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 Kelley Rodriguez's NPI number?
The NPI number for Kelley Rodriguez is 1194609628. It was assigned to this individual provider in the NPPES registry on August 5, 2025.
Where is Kelley Rodriguez located?
Kelley Rodriguez practices at 10310 W Markham St Ste 100, Little Rock, AR 72205. The listed phone number is (501) 747-1168.
What is Kelley Rodriguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelley Rodriguez enrolled in Medicare?
Yes. Kelley Rodriguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelley Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Rodriguez reassigns Medicare benefits to Arkansas Vascular And Vein Specialists, PLLC (Little Rock, AR). 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 Kelley Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Rodriguez accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kelley 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.
When was this NPI record last updated?
The NPPES record for Kelley Rodriguez was last updated on August 5, 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.
# Kelley Elizabeth Rodriguez, APRN · NPI 1194609628
Acute Care physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since August 5, 2025.
## Identity
- **NPI:** 1194609628 (Entity type: Individual)
- **Enumerated:** August 5, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 214237 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 10310 W MARKHAM ST STE 100, Little Rock, AR 72205-1581
- **Phone:** (501) 747-1168
## 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:** Arkansas Vascular And Vein Specialists, PLLC (NPI 1639881600, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194609628) · Data from the CMS NPPES public registry.