Individual provider Active NPI

Luis B Rodriguez, CRNA

  • Certified Registered Nurse Anesthetist
  • Arkansas City, KS
National Provider Identifier
1053615526
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11025817 Issued in FL
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

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3821024000OtherPAIND. BLUE CROSS
1594393OtherPAGATEWAY
2571791OtherPAFIRST PRIORITY
12186828OtherPACAQH
1027798060001MedicaidPA
146167OtherPAGEISINGER
2571791OtherPAHIGHMARK
50097984OtherPACAPITAL ADVANTGE
9685655OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, FL, OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200714002231 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830373521 Reassigns benefits to 3 organizations
I20231019002164 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830373521 Reassigns benefits to 1 organization
I20240312001108 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830373521 Reassigns benefits to 1 organization

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
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
William Newton Memorial HospitalGroup PAC ID 5294648937, 45 clinicians

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

LicenseStateTypeSpecialty
14-151453-011KSMDRegistered Nurse
APRN11025817FLMDCertified Registered Nurse Anesthetist
43-557766-011KSMDCertified Registered Nurse Anesthetist
212552OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
William Newton Memorial Hospital CurrentSince Apr 28, 2023 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
South Central Kansas Regional Medical Center Current Accepting new patients
William Newton Memorial Hospital CurrentSince Apr 28, 2023 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.