THERESA RENEE RODRIGUEZ PA-C
NPI 1225153414
Physician Assistant in Victoria, TX

Q: What is Theresa Rodriguez's NPI number?

The NPI number for Theresa Rodriguez is 1225153414. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Theresa Rodriguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Rodriguez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 20, 2007PECOS Enrolled

3002 SAM HOUSTON DR, VICTORIA, TX 77904(361) 489-7521 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Aug 20, 2019, Sep 13, 2017 (3 updates tracked since 2017).

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About Theresa Renee Rodriguez Pa-c NPPES

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

THERESA RENEE RODRIGUEZ PA-C (NPI 1225153414) is an individual physician assistant in Victoria, Texas, licensed in Texas (PA06359) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Victoria.

NPPES Registry Identity

NPI1225153414

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTHERESA RENEE RODRIGUEZCredential: PA-C

Location Address3002 SAM HOUSTON DRVictoria, TX 77904-2682

Mailing Address3002 Sam Houston DrVictoria, TX 77904-2682 · (361) 489-7521

Phone(361) 489-7521

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1225153414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA06359

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.

3002 SAM HOUSTON DR, Victoria, TX 77904

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Secondary Practice Location 1

Location 12701 Hospital DrVictoria, TX 77901-5749 · Phone (361) 573-9181 · Fax (361) 572-5094

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Renee Rodriguez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 77904 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 10

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

TINA HENDRICK FNP-C

Nurse Practitioner (Family)