NOEMI RODRIGUEZ FNP-C
NPI 1205655875
Nurse Practitioner - Family in Desoto, TX
About Noemi Rodriguez Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOEMI RODRIGUEZ FNP-C (NPI 1205655875) is an individual family provider in Desoto, Texas, licensed in Texas (1169620) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Noemi Rodriguez Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Noemi Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Desoto, TX 75115
- Reassigned Medicare billing, Texas enrollment
- 2 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 75115 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Noemi Rodriguez's NPI number?
The NPI number for Noemi Rodriguez is 1205655875. It was assigned to this individual provider in the NPPES registry on October 9, 2024.
Where is Noemi Rodriguez located?
Noemi Rodriguez practices at 2701 Prince George Ave Ste 100, Desoto, TX 75115. The listed phone number is (972) 634-8110.
What is Noemi Rodriguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Noemi Rodriguez enrolled in Medicare?
Yes. Noemi Rodriguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Noemi Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Noemi Rodriguez reassigns Medicare benefits to The Dallas Clinic 23 PLLC (Desoto, TX). 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 Noemi 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 Noemi Rodriguez was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Noemi Rodriguez, FNP-C · NPI 1205655875
Family physician in Desoto, Texas. Individual provider, active in the CMS NPPES registry since October 9, 2024.
## Identity
- **NPI:** 1205655875 (Entity type: Individual)
- **Enumerated:** October 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1169620 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2701 PRINCE GEORGE AVE STE 100, Desoto, TX 75115-2087
- **Phone:** (972) 634-8110
## 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:** The Dallas Clinic 23 PLLC (NPI 1255197653, Desoto, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205655875) · Data from the CMS NPPES public registry.