JESSICA RODRIGUEZ PA - NPI 1770117996 - Physician Assistant in Colleyville, TX

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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About Jessica Rodriguez Pa NPPES

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

JESSICA RODRIGUEZ PA (NPI 1770117996) is an individual surgical provider in Colleyville, Texas, licensed in Texas (PA13439) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770117996

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJESSICA RODRIGUEZCredential: PA

Location Address5009 HERITAGE AVEColleyville, TX 76034-5913

Mailing Address1417 Country Manor RdFort Worth, TX 76134-3626 · (817) 807-3390

Phone(817) 590-0800

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 26, 2020

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1770117996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA13439

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA13439 (TX)

5009 HERITAGE AVE, Colleyville, TX 76034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rodriguez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799103859

PECOS Enrollment IDI20200922002074

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.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.07

Promoting Interoperability

100

Improvement Activities

Cost

49.5

Other Providers at the Same Location NPPES 5

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

DHIMAN BASU MD

Internal Medicine (Rheumatology)