ANGELA IVETTE RIVERA RODRIGUEZ PA-C
NPI 1710854211
Physician Assistant in Davenport, FL

Q: What is Angela Rivera Rodriguez's NPI number?

The NPI number for Angela Rivera Rodriguez is 1710854211. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Q: What is Angela Rivera Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since October 20, 2025PECOS Enrolled

40215 HIGHWAY 27, DAVENPORT, FL 33837(863) 421-9705(863) 421-9779 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 4, 2026, Nov 14, 2025 (2 updates tracked since 2025).

On this page

About Angela Ivette Rivera Rodriguez Pa-c NPPES

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

ANGELA IVETTE RIVERA RODRIGUEZ PA-C (NPI 1710854211) is an individual physician assistant in Davenport, Florida, licensed in Florida (PA9121006) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710854211

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGELA IVETTE RIVERA RODRIGUEZCredential: PA-C

Location Address40215 HIGHWAY 27Davenport, FL 33837-7813

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(863) 421-9705

Fax(863) 421-9779

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 20, 2025

Last NPPES UpdateJune 4, 20262 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1710854211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9121006

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

40215 HIGHWAY 27, Davenport, FL 33837

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Ivette Rivera Rodriguez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749770873

PECOS Enrollment IDI20251106005038

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33837 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 9

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

ALYSHA N PETROFF APRN

Nurse Practitioner (Gerontology)