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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KASSIDY RODRIGUEZ
NPI 1548072820
Physician Assistant in Brandon, FL

Active since January 23, 2025PECOS EnrolledAccepts Medicare Assignment
500 VONDERBURG DR STE 102, BRANDON, FL 33511(813) 681-5658(813) 681-5250 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kassidy Rodriguez NPPES

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

KASSIDY RODRIGUEZ (NPI 1548072820) is an individual physician assistant in Brandon, Florida, licensed in Florida (PA9119920) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548072820
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKASSIDY RODRIGUEZ
Location Address500 VONDERBURG DR STE 102Brandon, FL 33511-5968
Mailing Address500 Vonderburg Dr Ste 102Brandon, FL 33511-5968 · (813) 681-5658 · Fax (813) 681-5250
Phone(813) 681-5658
Fax(813) 681-5250
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 23, 2025
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1548072820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9119920
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 VONDERBURG DR STE 102, Brandon, FL 33511
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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

Kassidy Rodriguez 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 ID749703957
PECOS Enrollment IDI20250328001140
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.

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER JANE CAPPELLO M.D.
Family Medicine
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658
LESLY WESTER CUZA APRN
Nurse Practitioner
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658
CESAR ANTONIO BOZA GAITAN MD
Family Medicine
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658
ARNOLDO JOSE PENA QUESADA MD
Internal Medicine
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658
LANESHA OWENS PA-C
Physician Assistant
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658
ANGELA MCCARTHY LUCAS MD
Family Medicine
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658
DR. JULIO A ENRIQUEZ MD
Internal Medicine
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658
DR. ANTONIO VICTOR ZUMPANO M.D.
Internal Medicine
500 VONDERBURG DR STE 102
BRANDON, FL 33511
Hillsborough County (813) 681-5658

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 Kassidy Rodriguez's NPI number?

The NPI number for Kassidy Rodriguez is 1548072820. It was assigned to this individual provider in the NPPES registry on January 23, 2025.

Where is Kassidy Rodriguez located?

Kassidy Rodriguez practices at 500 Vonderburg Dr Ste 102, Brandon, FL 33511. The listed phone number is (813) 681-5658.

What is Kassidy Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kassidy Rodriguez enrolled in Medicare?

Yes. Kassidy 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.

Is Kassidy Rodriguez affiliated with any hospitals?

According to CMS data, Kassidy Rodriguez is affiliated with St Josephs Hospital and Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Kassidy Rodriguez was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.