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ROSE MARY B RODRIGUES AGACNP
NPI 1457176554
Nurse Practitioner - Acute Care in Riverside, CA

Active since November 22, 2024PECOS EnrolledAccepts Medicare Assignment
6268 AUTUMNWOOD DR, RIVERSIDE, CA 92505(951) 901-3246 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rose Mary B Rodrigues Agacnp NPPES

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

ROSE MARY B RODRIGUES AGACNP (NPI 1457176554) is an individual acute care provider in Riverside, California, licensed in California (95031995) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457176554
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameROSE MARY B RODRIGUESCredential: AGACNP
Location Address6268 AUTUMNWOOD DRRiverside, CA 92505-2296
Mailing Address6268 Autumnwood DrRiverside, CA 92505-2296 · (951) 901-3246
Phone(951) 901-3246
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
✔ NPI 1457176554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95031995
6268 AUTUMNWOOD DR, Riverside, CA 92505
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Other Names 1

Other Name (5)Mrs. Rose Mary B Rodrigues Agacnp

Other Identifiers 1

Other95031995CA · Nurse Practitioner, California Board Of Registered Nursing

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

Rose Mary B Rodrigues Agacnp 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 ID4587186689
PECOS Enrollment IDI20250318003092
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

2

Medicare enrollment records show Rose Mary Rodrigues reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
2.7 mi
Ophthalmology
4244 RIVERWALK PKWY, STE 100
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1033361886 (909) 558-2154
El-Bershawi Medical Corp
2.7 mi
Critical Care Medicine
4234 RIVERWALK PKWY, SUITE 230
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1386813103 (951) 781-3672

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 92505 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Rose Mary Rodrigues's NPI number?

The NPI number for Rose Mary Rodrigues is 1457176554. It was assigned to this individual provider in the NPPES registry on November 22, 2024. The provider is also known as Mrs. Rose Mary B Rodrigues Agacnp.

Where is Rose Mary Rodrigues located?

Rose Mary Rodrigues practices at 6268 Autumnwood Dr, Riverside, CA 92505. The listed phone number is (951) 901-3246.

What is Rose Mary Rodrigues's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Rose Mary Rodrigues enrolled in Medicare?

Yes. Rose Mary Rodrigues 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 Rose Mary Rodrigues's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rose Mary Rodrigues reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Riverside, CA) and El-Bershawi Medical Corp (Riverside, CA). 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 Rose Mary Rodrigues'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 Rose Mary Rodrigues was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.