PALM VALLEY MEDICAL SERVICES, LLC
NPI 1609604461
Nurse Practitioner - Family in Goodyear, AZ
About Palm Valley Medical Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM VALLEY MEDICAL SERVICES, LLC (NPI 1609604461) is a healthcare organization registered as a family in Goodyear, Arizona and active in the NPI registry since July 2024. The organization lists Jennifer Garcia Rodriguez, Fnp-c, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Palm Valley Medical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Palm Valley Medical Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Palm Valley Medical Services, LLC's NPI number?
The NPI number for Palm Valley Medical Services, LLC is 1609604461. It was assigned to this organization in the NPPES registry on July 23, 2024.
Where is Palm Valley Medical Services, LLC located?
Palm Valley Medical Services, LLC is located at 15749 W Vernon Ave, Goodyear, AZ 85395. The listed phone number is (602) 810-5178.
What is Palm Valley Medical Services, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Palm Valley Medical Services, LLC enrolled in Medicare?
Yes. Palm Valley Medical Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Palm Valley Medical Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Palm Valley Medical Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Palm Valley Medical Services, LLC was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Palm Valley Medical Services, Llc · NPI 1609604461
Family organization in Goodyear, Arizona. Organization record, active in the CMS NPPES registry since July 23, 2024.
## Identity
- **NPI:** 1609604461 (Entity type: Organization)
- **Enumerated:** July 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Garcia Rodriguez, FNP-C
## Practice location
- **Address:** 15749 W VERNON AVE, Goodyear, AZ 85395-7534
- **Phone:** (602) 810-5178 · **Fax:** (623) 321-6489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609604461) · Data from the CMS NPPES public registry.