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JAYMIE L RODRIGUEZ DNP, PMHNP
NPI 1649740705
Nurse Practitioner - Psychiatric/Mental Health in Richland, MO

Active since December 03, 2018PECOS Enrolled
304 W WASHINGTON AVE, RICHLAND, MO 65556(877) 406-2662 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2022, Dec 30, 2020, Dec 3, 2018 (3 updates tracked since 2018).

About Jaymie L Rodriguez Dnp, Pmhnp NPPES

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

JAYMIE L RODRIGUEZ DNP, PMHNP (NPI 1649740705) is an individual psychiatric/mental health provider in Richland, Missouri, licensed in Missouri (2018040552) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649740705
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAYMIE L RODRIGUEZCredential: DNP, PMHNP
Location Address304 W WASHINGTON AVERichland, MO 65556-7101
Mailing AddressPo Box 777Richland, MO 65556-0777 · (877) 406-2662
Phone(877) 406-2662
Sole ProprietorNo
Enumeration DateDecember 3, 2018
Last NPPES UpdateMay 16, 20223 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1649740705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2018040552
304 W WASHINGTON AVE, Richland, MO 65556
Open in Google Maps ↗

Other Names 1

Former Name (1)Jaymie L Shepherd Shepherd, Sasser

Other Identifiers 2

Medicaid420064566MO
Other14374335MO · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaymie L Rodriguez Dnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Jaymie Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richland Medical Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
304 W WASHINGTON AVE
Richland, MO 65556
  • Reassigned Medicare billing, Missouri enrollment
  • 78 clinicians in this Medicare group
NPI 1245361344 (573) 765-5131
Mercy Clinic Springfield Communities
68 mi
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,565 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900

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 65556 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

LISA KING FNP
Nurse Practitioner (Family)
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (573) 765-5141
KRISTI D ATKINS CNP-F
Nurse Practitioner (Family)
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (573) 765-5141
DR. ELIZABETH C EWERS TEEL PH.D.
Psychologist (Clinical Child & Adolescent)
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (877) 406-2662
DR. JOHN CAUDELL CARSON D.O.
Family Medicine
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (877) 406-2662
AMANDA KATHERINE CUMMINGS DDS
Dentist (General Practice)
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (573) 346-4446
DANIELLE FOWERS NP
Nurse Practitioner (Psychiatric/Mental Health)
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (877) 406-2662
RICHLAND MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (573) 765-5131
BETHANY RACKERS LCSW
Social Worker (Clinical)
304 W WASHINGTON AVE
RICHLAND, MO 65556
Pulaski County (573) 765-5141

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 Jaymie Rodriguez's NPI number?

The NPI number for Jaymie Rodriguez is 1649740705. It was assigned to this individual provider in the NPPES registry on December 3, 2018. The provider is also known as Jaymie L Shepherd Shepherd, Sasser.

Where is Jaymie Rodriguez located?

Jaymie Rodriguez practices at 304 W Washington Ave, Richland, MO 65556. The listed phone number is (877) 406-2662.

What is Jaymie Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jaymie Rodriguez enrolled in Medicare?

Yes. Jaymie Rodriguez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaymie Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaymie Rodriguez reassigns Medicare benefits to 2 organizations: Richland Medical Center, Inc. (Richland, MO) and Mercy Clinic Springfield Communities (Springfield, MO). Each 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 Jaymie Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaymie Rodriguez accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Jaymie 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 Jaymie Rodriguez was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.