JOHARY RODRIGUEZ NURSE PRACTITIONER
NPI 1770954398
Nurse Practitioner - Psychiatric/Mental Health in Payette, ID

Q: What is Johary Rodriguez's NPI number?

The NPI number for Johary Rodriguez is 1770954398. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Q: What is Johary Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Johary Rodriguez was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 08, 2015PECOS EnrolledAccepts Medicare Assignment

1441 NE 10TH AVE, PAYETTE, ID 83661(208) 642-3937(208) 642-9598 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2025, Jun 9, 2020 (2 updates tracked since 2020).

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About Johary Rodriguez Nurse Practitioner NPPES

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

JOHARY RODRIGUEZ NURSE PRACTITIONER (NPI 1770954398) is an individual psychiatric/mental health provider in Payette, Idaho, licensed in Idaho (56903) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770954398

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJOHARY RODRIGUEZCredential: NURSE PRACTITIONER

Location Address1441 NE 10TH AVEPayette, ID 83661-5420

Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-3937 · Fax (208) 642-9598

Phone(208) 642-3937

Fax(208) 642-9598

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 8, 2015

Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration

NPPES CertifiedJuly 22, 2025

✔ NPI 1770954398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · 56903

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9325608 (FL)

1441 NE 10TH AVE, Payette, ID 83661

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska 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 and accepts Medicare assignment

Johary Rodriguez Nurse Practitioner 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 ID4486921459

PECOS Enrollment IDI20190524002405, I20250429001845

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

101 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

76 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83661 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

NICOLE ANN MARIE YOUNG RDH

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