NICOLE RODRIGUEZ NURSE PRACTITIONER
NPI 1609346378
Nurse Practitioner in Lake Mary, FL

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
4106 W LAKE MARY BLVD, LAKE MARY, FL 32746(407) 333-2503 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Rodriguez Nurse Practitioner NPPES

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

NICOLE RODRIGUEZ NURSE PRACTITIONER (NPI 1609346378) is an individual nurse practitioner in Lake Mary, Florida, licensed in Florida (9399156) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Deltona.

NPPES Registry Identity

NPI1609346378
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE RODRIGUEZCredential: NURSE PRACTITIONER
Location Address4106 W LAKE MARY BLVDLake Mary, FL 32746-3315
Mailing Address4106 W Lake Mary BlvdLake Mary, FL 32746-3315 · (407) 333-2503
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 26, 2018
Last NPPES UpdateMarch 25, 2019
NPI 1609346378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · 9399156
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.
4106 W LAKE MARY BLVD, Lake Mary, FL 32746

Secondary Practice Location 1

Location 12836 Lightwood StDeltona, FL 32738-9185 · Phone (386) 299-9502

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

Nicole Rodriguez Nurse Practitioner 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 ID8820330806
PECOS Enrollment IDI20190423000346
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 19

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 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.
1,044 services481 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.
442 services253 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
295 services295 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
202 services154 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
150 services120 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
134 services113 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims72 services$6.51 avg. paid by Medicare
Walker, with trunk support, adjustable or fixed height, any type E0140
DME-Other DME · category DE000N
1 supplier19 claims19 services$17.38 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$23.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
4106 W LAKE MARY BLVD, SUITE 100
LAKE MARY, FL 32746
Surgery
4106 W LAKE MARY BLVD, SUITE 330
LAKE MARY, FL 32746
Family Medicine
4106 W LAKE MARY BLVD, SUITE 100
LAKE MARY, FL 32746
Phlebology
4106 W LAKE MARY BLVD, STE 324
LAKE MARY, FL 32746
Podiatrist (Foot & Ankle Surgery)
4106 W LAKE MARY BLVD, SUITE 125
LAKE MARY, FL 32746
Internal Medicine
4106 W LAKE MARY BLVD, SUITE 100
LAKE MARY, FL 32746
Surgery
4106 W LAKE MARY BLVD, SUITE 330
LAKE MARY, FL 32746
Phlebology
4106 W LAKE MARY BLVD, SUITE 325
LAKE MARY, FL 32746

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 Nicole Rodriguez's NPI number?

The NPI number for Nicole Rodriguez is 1609346378. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Nicole Rodriguez located?

Nicole Rodriguez practices at 4106 W Lake Mary Blvd, Lake Mary, FL 32746. The listed phone number is (407) 333-2503.

What is Nicole Rodriguez's specialty?

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

Is Nicole Rodriguez enrolled in Medicare?

Yes. Nicole 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 Nicole Rodriguez affiliated with any hospitals?

According to CMS data, Nicole Rodriguez is affiliated with Orlando Health, Adventhealth Orlando, Adventhealth Deland, Adventhealth Waterman and Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for Nicole Rodriguez was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.