KELLEY ELIZABETH RODRIGUEZ APRN
NPI 1194609628
Nurse Practitioner - Acute Care in Little Rock, AR

Active since August 05, 2025PECOS Enrolled
10310 W MARKHAM ST STE 100, LITTLE ROCK, AR 72205(501) 747-1168 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1194609628
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLEY ELIZABETH RODRIGUEZCredential: APRN
Location Address10310 W MARKHAM ST STE 100Little Rock, AR 72205-1581
Mailing Address13311 Abinger DrLittle Rock, AR 72212-3701 · (501) 766-9392
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
NPI 1194609628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AR · 214237
10310 W MARKHAM ST STE 100, Little Rock, AR 72205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelley Elizabeth Rodriguez Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234635905
PECOS Enrollment IDI20251001003665
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.

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

Physician Assistant
10310 W MARKHAM ST STE 100
LITTLE ROCK, AR 72205
Surgery (Vascular Surgery)
10310 W MARKHAM ST STE 100
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.

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 12 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.