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MILDREY RODRIGUEZ
NPI 1629580113
Nurse Practitioner - Family in Las Vegas, NV

Active since October 24, 2017PECOS EnrolledAccepts Medicare Assignment
2810 W CHARLESTON BLVD STE H77, LAS VEGAS, NV 89102(702) 377-6556(702) 665-8651 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Mar 12, 2025, Dec 11, 2023 and 3 more (6 updates tracked since 2017).

About Mildrey Rodriguez NPPES

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

MILDREY RODRIGUEZ (NPI 1629580113) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (845655) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629580113
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMILDREY RODRIGUEZ
Location Address2810 W CHARLESTON BLVD STE H77Las Vegas, NV 89102-1921
Mailing Address2810 W Charleston Blvd Ste H77Las Vegas, NV 89102-1921 · (786) 970-9384 · Fax (702) 665-8651
Phone(702) 377-6556
Fax(702) 665-8651
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 24, 2017
Last NPPES UpdateJune 25, 20266 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1629580113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 845655
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedRegistered NurseTaxonomy 163W00000X · License 845655 (NV)
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
2810 W CHARLESTON BLVD STE H77, Las Vegas, NV 89102
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1308 Bedford RdLas Vegas, NV 89107-4302 · Phone (702) 403-7999
Location 25020 Alta Dr Ste BLas Vegas, NV 89107-3940 · Phone (702) 403-7999
Location 32801 S Valley View Blvd Ste 2Las Vegas, NV 89102-0116 · Phone (786) 970-9384
Location 42110 E Flamingo RdLas Vegas, NV 89119-5190 · Phone (702) 620-5105
Location 59624 World Cup DrLas Vegas, NV 89117-0817 · Phone (786) 970-9384

Other Identifiers 2

Medicaid1605708189NV
Other845655NV · Nevada State Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mildrey 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 ID9234572066
PECOS Enrollment IDI20240208003567
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.

Medicare Billing Reassignment

Medicare enrollment records show Mildrey Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eterna Medical Group LLC
Same address
Primary Care
2810 W CHARLESTON BLVD STE H77
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
NPI 1669269924 (702) 377-6556

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 4

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

YALENA LEZCANO RAMOS
Nurse Practitioner (Family)
2810 W CHARLESTON BLVD STE H77
LAS VEGAS, NV 89102
Clark County (702) 377-6556
FRANCISCO JAVIER ROBLES
Rehabilitation Practitioner
2810 W CHARLESTON BLVD STE H77
LAS VEGAS, NV 89102
Clark County (702) 823-3910
JUNIER TORRES-QUIALA APRN-CNP
Nurse Practitioner (Family)
2810 W CHARLESTON BLVD STE H77
LAS VEGAS, NV 89102
Clark County (702) 445-6323
ETERNA MEDICAL GROUP LLC
Nurse Practitioner (Primary Care)
2810 W CHARLESTON BLVD STE H77
LAS VEGAS, NV 89102
Clark County (702) 377-6556

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 Mildrey Rodriguez's NPI number?

The NPI number for Mildrey Rodriguez is 1629580113. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Mildrey Rodriguez located?

Mildrey Rodriguez practices at 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102. The listed phone number is (702) 377-6556.

What is Mildrey Rodriguez's specialty?

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

Is Mildrey Rodriguez enrolled in Medicare?

Yes. Mildrey 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.

Which organization bills Medicare for Mildrey Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mildrey Rodriguez reassigns Medicare benefits to Eterna Medical Group LLC (Las Vegas, NV). The 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 Mildrey Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mildrey Rodriguez accept?

Health plans from Molina Healthcare list Mildrey 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.

When was this NPI record last updated?

The NPPES record for Mildrey Rodriguez was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.