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JACOB RODRIGUEZ
NPI 1316675382
Physician Assistant in Garden City, UT

Active since August 09, 2022PECOS EnrolledAccepts Medicare Assignment
325 W LOGAN RD, GARDEN CITY, UT 84028(208) 232-7862 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Aug 9, 2022 (2 updates tracked since 2022).

About Jacob Rodriguez NPPES

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

JACOB RODRIGUEZ (NPI 1316675382) is an individual physician assistant in Garden City, Utah, licensed in Utah (14190579-1206) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316675382
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB RODRIGUEZ
Location Address325 W LOGAN RDGarden City, UT 84028-7754
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Phone(208) 232-7862
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 9, 2022
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1316675382 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 UT · 14190579-1206
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.
325 W LOGAN RD, Garden City, UT 84028
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Providence Health Plan and more.Insurance ›

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

Jacob Rodriguez 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 ID3577093343
PECOS Enrollment IDI20250207003296
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT
OwnershipProprietary
CMS Certification Number460017
Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84028 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 4

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

HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
325 W LOGAN RD
GARDEN CITY, UT 84028
Rich County (435) 946-3660
DR. MARK C. WESTON DDS
Dentist
325 W LOGAN RD
GARDEN CITY, UT 84028
Rich County (435) 946-3660
SELANIE ANN SANONE DNP
Nurse Practitioner
325 W LOGAN RD
GARDEN CITY, UT 84028
Rich County (435) 755-6061
HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
325 W LOGAN RD
GARDEN CITY, UT 84028
Rich County (208) 232-7862

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 Jacob Rodriguez's NPI number?

The NPI number for Jacob Rodriguez is 1316675382. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Jacob Rodriguez located?

Jacob Rodriguez practices at 325 W Logan Rd, Garden City, UT 84028. The listed phone number is (208) 232-7862.

What is Jacob Rodriguez's specialty?

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

Is Jacob Rodriguez enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Rodriguez accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Jacob Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Rodriguez affiliated with any hospitals?

According to CMS data, Jacob Rodriguez is affiliated with Logan Regional Hospital and Brigham City Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Rodriguez was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.