Active NPI
Luis B Rodriguez, CRNA
- Certified Registered Nurse Anesthetist
- Arkansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11025817
- Practice address
- 823 N 3Rd St
Arkansas City, KS 67005-1549 - Phone
- (610) 703-8695
- NPI assigned
- Dec 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11025817 | FL | Primary |
| Registered Nurse | 163W00000X | 14-151453-011 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 212552 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-557766-011 | KS |
Addresses
Primary practice location
823 N 3Rd St
Arkansas City, KS 67005-1549
Mailing address
823 N 3Rd St
Arkansas City, KS 67005-1549
Phone (610) 703-8695
Other practice location 1
1300 E 5th Ave
Winfield, KS 67156-2407
Phone (610) 703-8695
Other practice location 2
1900 N 14th St
Ponca City, OK 74601-2035
Phone (610) 703-8695
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3821024000 | Other | PA | IND. BLUE CROSS |
| 1594393 | Other | PA | GATEWAY |
| 2571791 | Other | PA | FIRST PRIORITY |
| 12186828 | Other | PA | CAQH |
| 1027798060001 | Medicaid | PA | |
| 146167 | Other | PA | GEISINGER |
| 2571791 | Other | PA | HIGHMARK |
| 50097984 | Other | PA | CAPITAL ADVANTGE |
| 9685655 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, FL, OK
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rutgers New Jersey Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
HC Med Ctr
Tulsa, OK 74104-4012
Phone (918) 579-1000
1300 E 5TH Ave
Winfield, KS 67156-2407
Phone (620) 222-6270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-151453-011 | KS | MD | Registered Nurse |
| APRN11025817 | FL | MD | Certified Registered Nurse Anesthetist |
| 43-557766-011 | KS | MD | Certified Registered Nurse Anesthetist |
| 212552 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| William Newton Memorial Hospital | Current | Accepting new patients | |
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Central Kansas Regional Medical Center | Current | Accepting new patients | |
| William Newton Memorial Hospital | Current | Accepting new patients |
Locations
2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798
1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Winfield, KS
- NPI 1548229149
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
- Rural Acute Care Hospital
- Arkansas City, KS
- NPI 1679672323
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1457300998
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Udall, KS
- NPI 1720736663
-
- Anesthesiology Physician
- Clermont, FL
- NPI 1669140745
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Mary, FL
- NPI 1992524706
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Winfield, KS
- NPI 1548229149
-
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1053615526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 N 3RD ST",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670051549",
"telephone_number": "610-703-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 N 3RD ST",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670051549",
"telephone_number": "610-703-8695"
}
],
"practiceLocations": [
{
"address_1": "1300 E 5th Ave",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "KS",
"postal_code": "671562407",
"country_code": "US",
"telephone_number": "610-703-8695",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 N 14th St",
"address_purpose": "LOCATION",
"city": "Ponca City",
"state": "OK",
"postal_code": "746012035",
"country_code": "US",
"telephone_number": "610-703-8695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LUIS",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-27",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11025817",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-151453-011",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "212552",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557766-011",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND. BLUE CROSS",
"identifier": "3821024000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1594393",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "2571791",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12186828",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027798060001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "146167",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "2571791",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL ADVANTGE",
"identifier": "50097984",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9685655",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arkansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.