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NESTOR R RODRIGUEZ ARNP
NPI 1881148450
Nurse Practitioner - Family in Miami, FL

Active since August 11, 2016PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-1960(305) 243-5546 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Aug 11, 2016 (2 updates tracked since 2016).

About Nestor R Rodriguez Arnp NPPES

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

NESTOR R RODRIGUEZ ARNP (NPI 1881148450) is an individual family provider in Miami, Florida, licensed in Florida (9304543) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881148450
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNESTOR R RODRIGUEZCredential: ARNP
Location Address1400 NW 12TH AVEMiami, FL 33136-1003
Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-1960 · Fax (305) 243-5546
Phone(305) 243-1960
Fax(305) 243-5546
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 11, 2016
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1881148450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9304543
1400 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company 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

Nestor R Rodriguez 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 ID1254487879
PECOS Enrollment IDI20210202001686
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

KEREN SHAHAR M.D.
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-5511
MS. MELANIE ELEANOR GARCIA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-8500
NAYRA SANCHO LARA APRN
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-4000
ARLEN VEGA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 325-5511
ROLANDO GARCIA MD
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3229
DR. JONATHAN GUY AZOULAI M.D.
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2121
DR. EMORY MATTHEW MANTEN
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2023
DR. CARISSA RAMOS CRUZ DMD
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136
Miami-Dade County (305) 689-1127

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 Nestor Rodriguez's NPI number?

The NPI number for Nestor Rodriguez is 1881148450. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Where is Nestor Rodriguez located?

Nestor Rodriguez practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-1960.

What is Nestor Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nestor Rodriguez enrolled in Medicare?

Yes. Nestor Rodriguez 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.

What insurance does Nestor Rodriguez accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Nestor Rodriguez 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.

When was this NPI record last updated?

The NPPES record for Nestor Rodriguez was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.