MISS LIZETH RODRIGUEZ FNP
NPI 1518374263
Nurse Practitioner - Family in Stockton, CA

Q: What is Lizeth Rodriguez's NPI number?

The NPI number for Lizeth Rodriguez is 1518374263. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Q: What is Lizeth Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lizeth Rodriguez was last updated on October 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment

701 E CHANNEL ST, STOCKTON, CA 95202(209) 944-4700 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Miss Lizeth Rodriguez Fnp NPPES

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

MISS LIZETH RODRIGUEZ FNP (NPI 1518374263) is an individual family provider in Stockton, California, licensed in California (95030665) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518374263

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS LIZETH RODRIGUEZCredential: FNP

Location Address701 E CHANNEL STStockton, CA 95202-2628

Mailing Address212 Dean CtBrentwood, CA 94513-1075 · (415) 516-3785

Phone(209) 944-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 15, 2014

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1518374263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95030665

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 757937 (CA)

701 E CHANNEL ST, Stockton, CA 95202

Open in Google Maps ↗

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

Miss Lizeth Rodriguez Fnp 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 ID2062947856

PECOS Enrollment IDI20241203002903

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 95202 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Leave this field empty

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.

DR. ANA RUTH REVILLA M.D.

Pediatrics