JESUS IVAN RODRIGUEZ-CARRILLO FNP-BC
NPI 1720828429
Nurse Practitioner - Family in New York, NY
About Jesus Ivan Rodriguez-carrillo Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESUS IVAN RODRIGUEZ-CARRILLO FNP-BC (NPI 1720828429) is an individual family provider in New York, New York, licensed in New York (355152) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
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
Jesus Ivan Rodriguez-carrillo Fnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jesus Rodriguez-carrillo's NPI number?
The NPI number for Jesus Rodriguez-carrillo is 1720828429. It was assigned to this individual provider in the NPPES registry on May 30, 2024.
Where is Jesus Rodriguez-carrillo located?
Jesus Rodriguez-carrillo practices at 525 E 68th St # 10065, New York, NY 10065. The listed phone number is (575) 644-3509.
What is Jesus Rodriguez-carrillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesus Rodriguez-carrillo enrolled in Medicare?
Yes. Jesus Rodriguez-carrillo 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.
When was this NPI record last updated?
The NPPES record for Jesus Rodriguez-carrillo was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Jesus Ivan Rodriguez-Carrillo, FNP-BC · NPI 1720828429
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 30, 2024.
## Identity
- **NPI:** 1720828429 (Entity type: Individual)
- **Enumerated:** May 30, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 355152 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 E 68TH ST # 10065, New York, NY 10065-4870
- **Phone:** (575) 644-3509
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720828429) · Data from the CMS NPPES public registry.