ROCKY RODRIGUEZ AGACNP-BC
NPI 1457980880
Nurse Practitioner in San Antonio, TX

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229(210) 575-4837 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2022, Apr 7, 2020 (2 updates tracked since 2020).

About Rocky Rodriguez Agacnp-bc NPPES

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

ROCKY RODRIGUEZ AGACNP-BC (NPI 1457980880) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP145665) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1457980880
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameROCKY RODRIGUEZCredential: AGACNP-BC
Location Address8201 EWING HALSELL DRSan Antonio, TX 78229-3707
Mailing Address1011 Broadway St Apt 265San Antonio, TX 78215-1552 · (956) 322-7978
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2020
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1457980880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · AP145665
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP145665 (TX)
8201 EWING HALSELL DR, San Antonio, TX 78229

Secondary Practice Location 1

Location 16411 Fannin StHouston, TX 77030-1501 · Phone (713) 704-4000

Accepted 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

Rocky Rodriguez Agacnp-bc 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 ID2264845510
PECOS Enrollment IDI20210106002225
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services14 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
8201 EWING HALSELL DR
SAN ANTONIO, TX 78229
Transplant Surgery
8201 EWING HALSELL DR, 2ND FLOOR
SAN ANTONIO, TX 78229
Transplant Surgery
8201 EWING HALSELL DR, 2ND FLOOR
SAN ANTONIO, TX 78229
Nurse Practitioner
8201 EWING HALSELL DR
SAN ANTONIO, TX 78229
Transplant Surgery
8201 EWING HALSELL DR, 2ND FLOOR
SAN ANTONIO, TX 78229
Nurse Practitioner
8201 EWING HALSELL DR
SAN ANTONIO, TX 78229
Occupational Therapist
8201 EWING HALSELL DR
SAN ANTONIO, TX 78229
Nurse Practitioner
8201 EWING HALSELL DR
SAN ANTONIO, TX 78229

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 Rocky Rodriguez's NPI number?

The NPI number for Rocky Rodriguez is 1457980880. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Rocky Rodriguez located?

Rocky Rodriguez practices at 8201 Ewing Halsell Dr, San Antonio, TX 78229. The listed phone number is (210) 575-4837.

What is Rocky Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rocky Rodriguez enrolled in Medicare?

Yes. Rocky 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 Rocky Rodriguez accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Rocky 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 Rocky Rodriguez affiliated with any hospitals?

According to CMS data, Rocky Rodriguez is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Rocky Rodriguez was last updated on July 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.