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NILDA D RODRIGUEZ FNP
NPI 1538725882
Nurse Practitioner - Family in Edinburg, TX

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
82.04/100
CMS Quality Rating
1156 W MONTE CRISTO RD STE B, EDINBURG, TX 78541(956) 609-9339 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 30, 2020, Nov 11, 2019, Sep 14, 2019 and 3 more (6 updates tracked since 2019).

About Nilda D Rodriguez Fnp NPPES

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

NILDA D RODRIGUEZ FNP (NPI 1538725882) is an individual family provider in Edinburg, Texas, licensed in Texas (AP141731) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538725882
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNILDA D RODRIGUEZCredential: FNP
Location Address1156 W MONTE CRISTO RD STE BEdinburg, TX 78541-4541
Mailing Address1156 W Monte Cristo Rd Ste BEdinburg, TX 78541-4541 · (956) 609-9339
Phone(956) 609-9339
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 13, 2019
Last NPPES UpdateSeptember 30, 20206 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2020
✔ NPI 1538725882 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 TX · AP141731
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP141731 (TX)
1156 W MONTE CRISTO RD STE B, Edinburg, TX 78541
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11607 N Date StPharr, TX 78577-3219 · Phone (956) 460-5099
Location 21102 W Trenton RdEdinburg, TX 78539-9105 · Phone (956) 388-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nilda D 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 ID2860825544
PECOS Enrollment IDI20191211000585
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.

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.
85 services85 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.
59 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
49 services48 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.
38 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78541 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.

82.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.1
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 Nilda Rodriguez's NPI number?

The NPI number for Nilda Rodriguez is 1538725882. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Nilda Rodriguez located?

Nilda Rodriguez practices at 1156 W Monte Cristo Rd Ste B, Edinburg, TX 78541. The listed phone number is (956) 609-9339.

What is Nilda Rodriguez's specialty?

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

Is Nilda Rodriguez enrolled in Medicare?

Yes. Nilda 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 Nilda Rodriguez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Nilda 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 Nilda Rodriguez was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.