ASHLEY RODRIGUEZ
NPI 1780427005
Physician Assistant in Peoria, IL

Q: What is Ashley Rodriguez's NPI number?

The NPI number for Ashley Rodriguez is 1780427005. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Q: What is Ashley Rodriguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashley Rodriguez was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 June 14, 2024PECOS EnrolledAccepts Medicare Assignment

112 NE CRESCENT AVE, PEORIA, IL 61606(309) 672-4670 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Jun 18, 2024, Jun 14, 2024 (3 updates tracked since 2024).

On this page

About Ashley Rodriguez NPPES

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

ASHLEY RODRIGUEZ (NPI 1780427005) is an individual physician assistant in Peoria, Illinois, licensed in Illinois (085010770) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and maintains a secondary practice location in Miami Lakes.

NPPES Registry Identity

NPI1780427005

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameASHLEY RODRIGUEZ

Location Address112 NE CRESCENT AVEPeoria, IL 61606-1901

Mailing Address112 Ne Crescent AvePeoria, IL 61606-1901 · (309) 672-4670

Phone(309) 672-4670

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 14, 2024

Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1780427005 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 IL · 085010770

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.

112 NE CRESCENT AVE, Peoria, IL 61606

Open in Google Maps ↗

Secondary Practice Location 1

Location 16911 Main St Apt 226Miami Lakes, FL 33014-7005 · Phone (786) 382-6531

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

Ashley Rodriguez 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 ID6406387257

PECOS Enrollment IDI20241003001499

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.

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 18

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

MS. COURTNEY M JAEGLE PA

Physician Assistant