Individual provider Active NPI

Yunaisy Rodriguez, FNP-C

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1104632140
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11044521 Issued in FL
Practice address
171 Center Rd
Venice, FL 34285-5572
Phone
(833) 674-2500
Fax
(941) 764-8455
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11044521 FL Primary

Addresses

Primary practice location

171 Center Rd
Venice, FL 34285-5572

Mailing address

2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328
Phone (877) 856-3774

Other practice location 1

11513 N Main St
Jacksonville, FL 32218-4002
Phone (855) 674-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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
I20250516000257 NJ Practitioner - Nurse Practitioner 2264950930 Reassigns benefits to 1 organization
I20260626000531 FL Practitioner - Nurse Practitioner 2264950930

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc GoldsteinGroup PAC ID 2264419217, 6 clinicians

Practice addresses (Care Compare)

8100 Kennedy Blvd
North Bergen, NJ 07047-4254
Phone (201) 866-6770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15219800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jul 6, 2026 Accepting new patients
Marc Goldstein CurrentSince Feb 14, 2025 Accepting new patients
Millennium Physician Group LLC PastSince Jul 6, 2026 Accepting new patients

Locations

2675 Winkler Ave
Ste 200
Fort Myers, FL 33901

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

171 Center Rd
Venice, FL 34285
Phone (833) 674-2500

8100 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 656-4104

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1104632140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CENTER RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855572",
            "telephone_number": "833-674-2500",
            "fax_number": "941-764-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11513 N Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184002",
            "country_code": "US",
            "telephone_number": "855-674-7400",
            "fax_number": "904-730-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YUNAISY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11044521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.