Individual provider Active NPI

Jenna Lynn Rodriguez, FNP-C

  • Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1043755739
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APN.0004247-C-NP Issued in CO
Practice address
545 Creekside Xing Ste 206
New Braunfels, TX 78130-4274
Phone
(830) 387-5270
Fax
(830) 387-5329
NPI assigned
Jan 4, 2017
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0004247-C-NP CO Primary
Family Nurse Practitioner 363LF0000X F0117156 TX
Family Nurse Practitioner 363LF0000X C-APN.0004247-C-NP CO
Registered Nurse 163W00000X 776883 TX

Addresses

Primary practice location

545 Creekside Xing Ste 206
New Braunfels, TX 78130-4274

Mailing address

9100 E Mineral Cir
Centennial, CO 80112-3401
Phone (303) 673-7823

Other practice location 1

1062 Cedar Gln
New Braunfels, TX 78132-5279
Phone (210) 296-8115

Other practice location 2

1062 Cedar Gln
New Braunfels, TX 78132-5279
Phone (210) 296-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170608000625 TX Practitioner - Nurse Practitioner 0143598508 Reassigns benefits to 1 organization
I20220726003806 CO Practitioner - Nurse Practitioner 0143598508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
776883TXMDRegistered Nurse
F0117156TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Medicine and Rehabilitation Professional LLC CurrentSince Sep 1, 2024 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC Current Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC CurrentSince Sep 1, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 13, 2017 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 13, 2017 Accepting new patients
Lone Star Extensivists PLLC PastSince Sep 1, 2024 Accepting new patients

Locations

1720 Jet Stream Dr
Ste 200
Colorado Springs, CO 80921
Phone (719) 635-3764

3910 S Carefree Cir
Ste F
Colorado Springs, CO 80917
Phone (719) 635-3764

545 Creekside Xing
New Braunfels, TX 78130
Phone (210) 859-4699

545 Creekside Xing
Ste 206
New Braunfels, TX 78130
Phone (210) 656-5098

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1043755739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 E MINERAL CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123401",
            "telephone_number": "303-673-7823",
            "fax_number": "303-649-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 CREEKSIDE XING STE 206",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304274",
            "telephone_number": "830-387-5270",
            "fax_number": "830-387-5329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 Cedar Gln",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325279",
            "country_code": "US",
            "telephone_number": "210-296-8115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1062 Cedar Gln",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325279",
            "country_code": "US",
            "telephone_number": "210-296-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0004247-C-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0117156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0004247-C-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "776883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.