STACY L. RODRIGUEZ NP
NPI 1649038308
Nurse Practitioner - Family in Fort Wayne, IN

Q: What is Stacy Rodriguez's NPI number?

The NPI number for Stacy Rodriguez is 1649038308. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Q: What is Stacy Rodriguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Rodriguez was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since March 07, 2024PECOS EnrolledAccepts Medicare Assignment

7900 W JEFFERSON BLVD STE 201, FORT WAYNE, IN 46804(260) 969-7216(260) 969-7230 Get Directions Write a Review

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

Record update history: Aug 14, 2024, Jul 11, 2024, Mar 7, 2024 (3 updates tracked since 2024).

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About Stacy L. Rodriguez Np NPPES

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

STACY L. RODRIGUEZ NP (NPI 1649038308) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71015168A) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649038308

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACY L. RODRIGUEZCredential: NP

Location Address7900 W JEFFERSON BLVD STE 201Fort Wayne, IN 46804-4128

Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520

Phone(260) 969-7216

Fax(260) 969-7230

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 7, 2024

Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1649038308 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

License✔ Licensed in IN · 71015168A

7900 W JEFFERSON BLVD STE 201, Fort Wayne, IN 46804

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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

Stacy L. Rodriguez Np 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 ID8628410388

PECOS Enrollment IDI20240525000175

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

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.

26 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150075

Location303 S Main StBluffton, IN 46714 · Wells County

Emergency services Birthing friendly

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number150133

Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 15

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

DR. ASHISH SHARMA MD

Internal Medicine (Gastroenterology)