GUSTAVO ROCKY RODRIGUEZ NP-C
NPI 1558039420
Nurse Practitioner - Family in Albuquerque, NM

Active since September 03, 2021PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
1700 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 277-7000 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Nov 16, 2021 (2 updates tracked since 2021).

About Gustavo Rocky Rodriguez Np-c NPPES

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

GUSTAVO ROCKY RODRIGUEZ NP-C (NPI 1558039420) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (65237) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558039420
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGUSTAVO ROCKY RODRIGUEZCredential: NP-C
Location Address1700 LOMAS BLVD NEAlbuquerque, NM 87106-3835
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 3, 2021
Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
NPI 1558039420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NM · 65237 Licensed in NM · F08211209
1700 LOMAS BLVD NE, Albuquerque, NM 87106

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

Gustavo Rocky Rodriguez Np-c 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 ID8022495043
PECOS Enrollment IDI20220512002794
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 2

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.
50 services27 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 2

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

Speech-Language Pathologist
1700 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
1700 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Gustavo Rodriguez's NPI number?

The NPI number for Gustavo Rodriguez is 1558039420. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Gustavo Rodriguez located?

Gustavo Rodriguez practices at 1700 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 277-7000.

What is Gustavo Rodriguez's specialty?

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

Is Gustavo Rodriguez enrolled in Medicare?

Yes. Gustavo 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 Gustavo Rodriguez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Gustavo 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 Gustavo Rodriguez affiliated with any hospitals?

According to CMS data, Gustavo Rodriguez is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Gustavo Rodriguez was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.