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NICOLE MARIE RODRIGUEZ PEREZ M.D.
NPI 1356872105
Emergency Medicine in San Juan, PR

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
84.26/100
CMS Quality Rating
225 CALLE VIOLETA, URB SAN FRANCISCO, SAN JUAN, PR 00927(787) 484-2683 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2021, Mar 23, 2017 (2 updates tracked since 2017).

About Nicole Marie Rodriguez Perez M.d. NPPES

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

NICOLE MARIE RODRIGUEZ PEREZ M.D. (NPI 1356872105) is an individual emergency medicine provider in San Juan, Puerto Rico, licensed in Florida (ME145434) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of San Juan Bautista School Of Medicine (2017).

NPPES Registry Identity

NPI1356872105
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNICOLE MARIE RODRIGUEZ PEREZCredential: M.D.
Location Address225 CALLE VIOLETA, URB SAN FRANCISCOSan Juan, PR 00927-6223
Mailing Address225 Calle Violeta, Urb San FranciscoSan Juan, PR 00927-6223 · (787) 484-2683
Phone(787) 484-2683
Sole ProprietorYes
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1356872105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME145434
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Marie Rodriguez Perez M.d. 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 ID5799102505
PECOS Enrollment IDI20250529003891
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Nicole Rodriguez Perez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Services Of Fl, LLC
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
Premier Emergency Services, Inc
Emergency Medicine
2551 W 84TH AVE
Westminster, CO 80031
  • Reassigned Medicare billing, Colorado enrollment
  • 130 clinicians in this Medicare group
NPI 1457755688 (330) 493-4443
Sterling Emergency Services Of Miami Beach PA
Emergency Medicine
2845 AVENTURA BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 105 clinicians in this Medicare group
NPI 1083912471 (877) 693-5700
Usacs Community Emergency Services Of Colorado, Inc.
Emergency Medicine
555 S PARK AVE # II
Breckenridge, CO 80424
  • Reassigned Medicare billing, Colorado enrollment
  • 352 clinicians in this Medicare group
NPI 1003549460 (970) 453-1010
Usacs Of Colorado Inc
Emergency Medicine
6001 E WOODMEN RD
Colorado Springs, CO 80923
  • Reassigned Medicare billing, Colorado enrollment
  • 468 clinicians in this Medicare group
NPI 1023644515 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
88 services88 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00927 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.66
Improvement Activities40

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 Nicole Rodriguez Perez's NPI number?

The NPI number for Nicole Rodriguez Perez is 1356872105. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Nicole Rodriguez Perez located?

Nicole Rodriguez Perez practices at 225 Calle Violeta Urb San Francisco, San Juan, PR 00927. The listed phone number is (787) 484-2683.

What is Nicole Rodriguez Perez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicole Rodriguez Perez enrolled in Medicare?

Yes. Nicole Rodriguez Perez 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.

Which organizations bill Medicare for Nicole Rodriguez Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rodriguez Perez reassigns Medicare benefits to 5 organizations: Emergency Medicine Services Of Fl, LLC (Aventura, FL), Premier Emergency Services, Inc (Westminster, CO), Sterling Emergency Services Of Miami Beach PA (Aventura, FL), Usacs Community Emergency Services Of Colorado, Inc. (Breckenridge, CO) and Usacs Of Colorado Inc (Colorado Springs, CO). 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 Nicole Rodriguez Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Rodriguez Perez accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Nicole Rodriguez Perez 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 Nicole Rodriguez Perez was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.