MRS. CRISTINA MATA RODRIGUEZ PA-C
NPI 1619492964
Physician Assistant - Medical in Fort Worth, TX

Q: What is Cristina Rodriguez's NPI number?

The NPI number for Cristina Rodriguez is 1619492964. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Q: What is Cristina Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since August 08, 2017PECOS EnrolledAccepts Medicare Assignment

4115 E LANCASTER AVE, FORT WORTH, TX 76103(817) 796-7370 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2020, Feb 3, 2020, Aug 8, 2017 (3 updates tracked since 2017).

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About Mrs. Cristina Mata Rodriguez Pa-c NPPES

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

MRS. CRISTINA MATA RODRIGUEZ PA-C (NPI 1619492964) is an individual medical provider in Fort Worth, Texas, licensed in Texas (PA11311) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619492964

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. CRISTINA MATA RODRIGUEZCredential: PA-C

Location Address4115 E LANCASTER AVEFort Worth, TX 76103-3614

Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-8460 · Fax (956) 362-8455

Phone(817) 796-7370

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 8, 2017

Last NPPES UpdateJuly 13, 20203 updates tracked since enumeration

NPPES CertifiedJuly 13, 2020

✔ NPI 1619492964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA11311

4115 E LANCASTER AVE, Fort Worth, TX 76103

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Secondary Practice Locations 4

Location 11950 Ephriham AveFort Worth, TX 76164-6670 · Phone (817) 813-7075

Location 21515 S Buckner BlvdDallas, TX 75217-1760 · Phone (214) 305-7065

Location 31200 E Savannah Ave Ste 7McAllen, TX 78503-1728 · Phone (956) 362-8460 · Fax (956) 362-8455

Location 42360 Gus Thomasson RdDallas, TX 75228 · Phone (214) 301-7071

Other Identifiers 1

OtherPA11311TX · Texas Medical Board License

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

Mrs. Cristina Mata Rodriguez Pa-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 ID8426312554

PECOS Enrollment IDI20200117001632

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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

118 services73 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.

23 services23 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

14 services12 patients

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Other Providers at the Same Location NPPES 15

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

CONSTANTINE PHIRIPES MD

Internal Medicine