JACQUELYN MARIE RODRIGUEZ APRN
NPI 1821671165
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Q: What is Jacquelyn Rodriguez's NPI number?

The NPI number for Jacquelyn Rodriguez is 1821671165. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Q: What is Jacquelyn Rodriguez's specialty?

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

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment

1102 BARCLAY ST, SAN ANTONIO, TX 78207(210) 233-7000 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jacquelyn Marie Rodriguez Aprn NPPES

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

JACQUELYN MARIE RODRIGUEZ APRN (NPI 1821671165) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1029228) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821671165

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELYN MARIE RODRIGUEZCredential: APRN

Location Address1102 BARCLAY STSan Antonio, TX 78207-7161

Mailing Address10827 Axis XingSan Antonio, TX 78245-3453 · (210) 849-4147

Phone(210) 233-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 4, 2021

Last NPPES UpdateJanuary 19, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1821671165 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 TX · 1029228

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1029228 (TX)

1102 BARCLAY ST, San Antonio, TX 78207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Providence Health Plan.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

Jacquelyn Marie Rodriguez Aprn 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 ID7416357918

PECOS Enrollment IDI20210621000062

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

JOSIAH HORNE DO

Family Medicine