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MR. JOHNATHAN A RODRIQUEZ ARNP
NPI 1811205214
Nurse Practitioner in Independence, KS

Active since September 20, 2010PECOS EnrolledAccepts Medicare Assignment
1415 N PENN AVE, INDEPENDENCE, KS 67301(620) 331-2400(620) 331-0747 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2026, Sep 25, 2024, Jul 5, 2017 and 3 more (6 updates tracked since 2016).

About Mr. Johnathan A Rodriquez Arnp NPPES

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

MR. JOHNATHAN A RODRIQUEZ ARNP (NPI 1811205214) is an individual nurse practitioner in Independence, Kansas, licensed in Kansas (53-75249-032) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Susan B Allen Memorial Hospital, and is a graduate of Vanderbilt University School Of Medicine (2010).

NPPES Registry Identity

NPI1811205214
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JOHNATHAN A RODRIQUEZCredential: ARNP
Location Address1415 N PENN AVEIndependence, KS 67301-2222
Mailing AddressPo Box 360Neodesha, KS 66757-0360 · (620) 325-2611 · Fax (620) 325-8453
Phone(620) 331-2400
Fax(620) 331-0747
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2010
Enumeration DateSeptember 20, 2010
Last NPPES UpdateMay 22, 20266 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1811205214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KS · 53-75249-032
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1415 N PENN AVE, Independence, KS 67301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Johnathan A Rodriquez Arnp 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 ID1951579218
PECOS Enrollment IDI20110713000154, I20120918000510
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Johnathan Rodriquez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wilson County Hospital
3.1 mi
Rural Health
1415 N PENN AVE
Independence, KS 67301
  • Reassigned Medicare billing, Kansas enrollment
  • 16 clinicians in this Medicare group
NPI 1003251802 (620) 331-2400
Fredonia Regional Hospital
18 mi
Health Service
1525 MADISON ST STE 2
Fredonia, KS 66736
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1285634006 (Kansas)
  • 22 clinicians in this Medicare group
NPI 1538947577 (620) 378-2068
Susan B. Allen Memorial Hospital
72 mi
General Practice
720 W CENTRAL AVE
El Dorado, KS 67042
  • Reassigned Medicare billing, Kansas enrollment
  • 34 clinicians in this Medicare group
NPI 1013439926 (316) 321-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Susan B Allen Memorial Hospital

Acute Care Hospitals · El Dorado, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170017
Location720 W Central StEl Dorado, KS 67042 · Butler County
Emergency services Birthing friendly

Wilson Medical Center

Critical Access Hospitals · Neodesha, KS
OwnershipGovernment - Local
CMS Certification Number171344
Location2600 Ottawa RoadNeodesha, KS 66757 · Wilson County
Emergency services

Fredonia Regional Hospital

Critical Access Hospitals · Fredonia, KS
OwnershipGovernment - Local
CMS Certification Number171374
Location1527 MadisonFredonia, KS 66736 · Wilson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67301 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims57 services$6.54 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers22 claims22 services$103.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims23 services$39.86 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$23.85 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$20.80 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers27 claims110 services$2.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

WILSON COUNTY HOSPITAL
Clinic/Center (Rural Health)
1415 N PENN AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-2400
MRS. MARDIE ANNE LONG APRN
Nurse Practitioner (Family)
1415 N PENN AVE
INDEPENDENCE, KS 67301
Montgomery County (620) 331-2400

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 Johnathan Rodriquez's NPI number?

The NPI number for Johnathan Rodriquez is 1811205214. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Johnathan Rodriquez located?

Johnathan Rodriquez practices at 1415 N Penn Ave, Independence, KS 67301. The listed phone number is (620) 331-2400.

What is Johnathan Rodriquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Johnathan Rodriquez enrolled in Medicare?

Yes. Johnathan Rodriquez 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.

Which organizations bill Medicare for Johnathan Rodriquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnathan Rodriquez reassigns Medicare benefits to 3 organizations: Wilson County Hospital (Independence, KS), Fredonia Regional Hospital (Fredonia, KS) and Susan B. Allen Memorial Hospital (El Dorado, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnathan Rodriquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnathan Rodriquez accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Johnathan Rodriquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Johnathan Rodriquez affiliated with any hospitals?

According to CMS data, Johnathan Rodriquez is affiliated with Susan B Allen Memorial Hospital, Wilson Medical Center and Fredonia Regional Hospital.

When was this NPI record last updated?

The NPPES record for Johnathan Rodriquez was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.