TINA RODRIGUEZ MS, PA-C
NPI 1205383387
Physician Assistant - Medical in Mineola, NY

Active since September 06, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tina Rodriguez Ms, Pa-c NPPES

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

TINA RODRIGUEZ MS, PA-C (NPI 1205383387) is an individual medical provider in Mineola, New York, licensed in New York (020064-1) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205383387
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTINA RODRIGUEZCredential: MS, PA-C
Location Address259 1ST STMineola, NY 11501-3957
Mailing Address15711 14th AveWhitestone, NY 11357-2709 · (917) 767-9679
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 6, 2016
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
NPI 1205383387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 020064-1
259 1ST ST, Mineola, NY 11501

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

Tina Rodriguez Ms, Pa-c 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 ID6901185875
PECOS Enrollment IDI20161116002270
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Physician Assistant (Medical)
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Pediatrics (Neonatal-Perinatal Medicine)
259 1ST ST
MINEOLA, NY 11501
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Pediatrics (Pediatric Emergency Medicine)
259 1ST ST
MINEOLA, NY 11501

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 Tina Rodriguez's NPI number?

The NPI number for Tina Rodriguez is 1205383387. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Tina Rodriguez located?

Tina Rodriguez practices at 259 1st St, Mineola, NY 11501. The listed phone number is (917) 767-9679.

What is Tina Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tina Rodriguez enrolled in Medicare?

Yes. Tina 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.

When was this NPI record last updated?

The NPPES record for Tina Rodriguez was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.