MR. NICHOLAS JOHN CASEY RODRIGUEZ AG-ACNP
NPI 1710376165
Nurse Practitioner - Acute Care in Rogers, AR

Q: What is Nicholas Rodriguez's NPI number?

The NPI number for Nicholas Rodriguez is 1710376165. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Q: What is Nicholas Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since January 22, 2015PECOS EnrolledAccepts Medicare Assignment

1001 S HORSEBARN RD, ROGERS, AR 72758(479) 273-7700(479) 273-7753 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Jul 21, 2020 (2 updates tracked since 2020).

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About Mr. Nicholas John Casey Rodriguez Ag-acnp NPPES

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

MR. NICHOLAS JOHN CASEY RODRIGUEZ AG-ACNP (NPI 1710376165) is an individual acute care provider in Rogers, Arkansas, licensed in Missouri (2020018088) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with North Kansas City Hospital, and maintains a secondary practice location in North Kansas City.

NPPES Registry Identity

NPI1710376165

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. NICHOLAS JOHN CASEY RODRIGUEZCredential: AG-ACNP

Location Address1001 S HORSEBARN RDRogers, AR 72758-8184

Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (479) 273-7700 · Fax (479) 273-7753

Phone(479) 273-7700

Fax(479) 273-7753

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 22, 2015

Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1710376165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in MO · 2020018088✔ Licensed in AR · ATP-000747

1001 S HORSEBARN RD, Rogers, AR 72758

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Secondary Practice Location 1

Location 12790 Clay Edwards Dr Ste 625North Kansas City, MO 64116-3278 · Phone (816) 455-3990 · Fax (816) 455-5351

Other Identifiers 1

Other394391ZMTFAR · Provider Transaction Access Number (ptan)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.Insurance ›

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

Mr. Nicholas John Casey Rodriguez Ag-acnp 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 ID1355667429

PECOS Enrollment IDI20150309000298, I20200728002758

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.

Hospital Affiliations CMS Care Compare

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

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260096

Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims220 services$11.19 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims77 services$278.52 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims77 services$7.97 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims77 services$24.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 19

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

DR. PRADEEP KUMAR PALLATI M.D

Surgery