KEISHA-MAE NICOLE RODRIGUEZ NP
NPI 1841990363
Nurse Practitioner in Bronx, NY

Q: What is Keisha-mae Rodriguez's NPI number?

The NPI number for Keisha-mae Rodriguez is 1841990363. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Q: What is Keisha-mae Rodriguez's specialty?

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

Active since March 03, 2023PECOS EnrolledAccepts Medicare Assignment

111 E 210TH ST, BRONX, NY 10467(929) 227-8131 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2023, Mar 3, 2023 (2 updates tracked since 2023).

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About Keisha-mae Nicole Rodriguez Np NPPES

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

KEISHA-MAE NICOLE RODRIGUEZ NP (NPI 1841990363) is an individual nurse practitioner in Bronx, New York, licensed in New York (351553) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841990363

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKEISHA-MAE NICOLE RODRIGUEZCredential: NP

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address21 Davenport Ave Apt 3aNew Rochelle, NY 10805-3427 · (929) 227-8131

Phone(929) 227-8131

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 3, 2023

Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2023

✔ NPI 1841990363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 351553

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.

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 734950 (NY)

111 E 210TH ST, Bronx, NY 10467

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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

Keisha-mae Nicole Rodriguez Np 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 ID1557718590

PECOS Enrollment IDI20231113001516

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 10467 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)