STACY L. RODRIGUEZ NP
NPI 1649038308
Nurse Practitioner - Family in Fort Wayne, IN
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Stacy Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 301 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, INLutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INParkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INBluffton Regional Medical Center
Acute Care Hospitals · Bluffton, INKosciusko Community Hospital
Acute Care Hospitals · Warsaw, INPhysician 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 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.
Where is Stacy Rodriguez located?
Stacy Rodriguez practices at 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804. The listed phone number is (260) 969-7216.
What is Stacy Rodriguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Rodriguez enrolled in Medicare?
Yes. Stacy 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 Stacy Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Rodriguez reassigns Medicare benefits to Lutheran Medical Group LLC (Fort Wayne, IN). 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 Stacy Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Rodriguez accept?
Health plans from Anthem Blue Cross and Blue Shield list Stacy 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.
Is Stacy Rodriguez affiliated with any hospitals?
According to CMS data, Stacy Rodriguez is affiliated with Marion General Hospital, Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Bluffton Regional Medical Center and Kosciusko Community Hospital.
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 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.
# Stacy L. Rodriguez, NP · NPI 1649038308
Family physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since March 7, 2024.
## Identity
- **NPI:** 1649038308 (Entity type: Individual)
- **Enumerated:** March 7, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71015168A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7900 W JEFFERSON BLVD STE 201, Fort Wayne, IN 46804-4128
- **Phone:** (260) 969-7216 · **Fax:** (260) 969-7230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran Medical Group LLC (NPI 1164662805, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649038308) · Data from the CMS NPPES public registry.