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JACKELINE RODRIGUEZ PMHNP-BC
NPI 1356051130
Nurse Practitioner - Psychiatric/Mental Health in Beaufort, SC

Active since December 01, 2022PECOS Enrolled
1 PINCKNEY BLVD, BEAUFORT, SC 29902(843) 228-5465 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2024, Apr 12, 2023, Dec 1, 2022 (3 updates tracked since 2022).

About Jackeline Rodriguez Pmhnp-bc NPPES

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

JACKELINE RODRIGUEZ PMHNP-BC (NPI 1356051130) is an individual psychiatric/mental health provider in Beaufort, South Carolina, licensed in Massachusetts (2340594) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356051130
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACKELINE RODRIGUEZCredential: PMHNP-BC
Location Address1 PINCKNEY BLVDBeaufort, SC 29902-6122
Mailing Address1 Pinckney BlvdBeaufort, SC 29902-6122 · (843) 228-5465
Phone(843) 228-5465
Sole ProprietorNo
Enumeration DateDecember 1, 2022
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1356051130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · 2340594
1 PINCKNEY BLVD, Beaufort, SC 29902
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.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)

Jackeline Rodriguez Pmhnp-bc 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 29902 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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 20

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

SUSAN HEIM
Specialist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5232
JESSIE C SANTIAGO JR. PA C
Physician Assistant (Medical)
1 PINCKNEY BLVD, ATTN PROFESSIONAL AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JEREMY ROBERT GIES D.M.D.
Dentist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-3500
RAYMOND CROSS PT DPT
Physical Therapist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-1318
MICHAEL JAMES DAVIDSON RN
Nurse Anesthetist, Certified Registered
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5994
DOUGLAS ROGER GILLETT DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
KURT JOHN BREILING DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JOHN SCOTT DONOUGHE DO
Orthopaedic Surgery
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5455

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 Jackeline Rodriguez's NPI number?

The NPI number for Jackeline Rodriguez is 1356051130. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Jackeline Rodriguez located?

Jackeline Rodriguez practices at 1 Pinckney Blvd, Beaufort, SC 29902. The listed phone number is (843) 228-5465.

What is Jackeline Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jackeline Rodriguez enrolled in Medicare?

Yes. Jackeline Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Jackeline Rodriguez accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Jackeline 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.

When was this NPI record last updated?

The NPPES record for Jackeline Rodriguez was last updated on September 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.