ELLEN RODRIGUEZ FNP
NPI 1225892136
Nurse Practitioner - Family in New York, NY
About Ellen Rodriguez Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN RODRIGUEZ FNP (NPI 1225892136) is an individual family provider in New York, New York, licensed in New Jersey (26NJ15017900) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Rodriguez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ellen Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, NJ 08540
- Reassigned Medicare billing, New Jersey enrollment
- 421 clinicians in this Medicare group
Bellmawr, NJ 08031
- Reassigned Medicare billing, New Jersey enrollment
- 46 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 10004 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10004
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 Ellen Rodriguez's NPI number?
The NPI number for Ellen Rodriguez is 1225892136. It was assigned to this individual provider in the NPPES registry on February 12, 2024.
Where is Ellen Rodriguez located?
Ellen Rodriguez practices at 30 Broad St, New York, NY 10004. The listed phone number is (888) 401-6582.
What is Ellen Rodriguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ellen Rodriguez enrolled in Medicare?
Yes. Ellen Rodriguez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ellen Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Rodriguez reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ) and Live Urgent Care LLC (Bellmawr, NJ). Each 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 Ellen 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 Ellen Rodriguez was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ellen Rodriguez, FNP · NPI 1225892136
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since February 12, 2024.
## Identity
- **NPI:** 1225892136 (Entity type: Individual)
- **Enumerated:** February 12, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15017900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 BROAD ST, New York, NY 10004-2304
- **Phone:** (888) 401-6582
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Signify Health Medical Associates Of New Jersey, LLC (NPI 1174187728, Princeton, NJ); Live Urgent Care LLC (NPI 1407439870, Bellmawr, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1225892136) · Data from the CMS NPPES public registry.