LUIS RODRIGUEZ AGACNP-BC
NPI 1689216434
Nurse Practitioner - Gerontology in Las Vegas, NV

Q: What is Luis Rodriguez's NPI number?

The NPI number for Luis Rodriguez is 1689216434. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Q: What is Luis Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Luis Rodriguez was last updated on October 4, 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.

Active since October 14, 2019PECOS Enrolled

6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113(702) 479-4850(702) 966-8699 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2022, Oct 14, 2019 (2 updates tracked since 2019).

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About Luis Rodriguez Agacnp-bc NPPES

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

LUIS RODRIGUEZ AGACNP-BC (NPI 1689216434) is an individual gerontology provider in Las Vegas, Nevada, licensed in Nevada (825391) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689216434

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameLUIS RODRIGUEZCredential: AGACNP-BC

Location Address6355 S BUFFALO DR FL 3Las Vegas, NV 89113-2133

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3466 · Fax (702) 671-6883

Phone(702) 479-4850

Fax(702) 966-8699

Sole ProprietorNo

Enumeration DateOctober 14, 2019

Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration

NPPES CertifiedOctober 4, 2022

✔ NPI 1689216434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NV · 825391

6355 S BUFFALO DR FL 3, Las Vegas, NV 89113

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12400 W Charleston BlvdLas Vegas, NV 89102-2155 · Phone (702) 320-7930

Location 21000 S Rainbow BlvdLas Vegas, NV 89145-6231 · Phone (702) 259-0088 · Fax (702) 259-9533

Other Identifiers 1

Other825391NV · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Rodriguez Agacnp-bc 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 Reassignment

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

Intermountain Medical Holdings Nevada Inc

15 mi

Internal Medicine

595 W LAKE MEAD PKWY
Henderson, NV 89015

Reassigned Medicare billing, Nevada enrollment
521 clinicians in this Medicare group

NPI 1245997279 (702) 566-5500

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 89113 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 20

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

NITTU SINGH MD

Family Medicine