JAQUELINE RODRIGUEZ PA-C
NPI 1780346130
Physician Assistant in Pembroke Pines, FL

Q: What is Jaqueline Rodriguez's NPI number?

The NPI number for Jaqueline Rodriguez is 1780346130. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Q: What is Jaqueline Rodriguez's specialty?

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

Active since October 12, 2021PECOS EnrolledAccepts Medicare Assignment

160 S FLAMINGO RD, PEMBROKE PINES, FL 33027(954) 620-0011(954) 620-2038 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2022, Oct 12, 2021 (2 updates tracked since 2021).

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About Jaqueline Rodriguez Pa-c NPPES

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

JAQUELINE RODRIGUEZ PA-C (NPI 1780346130) is an individual physician assistant in Pembroke Pines, Florida, licensed in Florida (PA9115149) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780346130

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJAQUELINE RODRIGUEZCredential: PA-C

Location Address160 S FLAMINGO RDPembroke Pines, FL 33027-1720

Mailing Address160 S Flamingo RdPembroke Pines, FL 33027-1720 · (954) 620-0011 · Fax (954) 620-0238

Phone(954) 620-0011

Fax(954) 620-2038

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 12, 2021

Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1780346130 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 · PA9115149

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.

160 S FLAMINGO RD, Pembroke Pines, FL 33027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Jaqueline Rodriguez Pa-c 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 ID7719353143

PECOS Enrollment IDI20221026000849

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.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 7

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

DR. ALEX MEILAN LAM MD

Internal Medicine (Rheumatology)