Individual provider Active NPI

Ashlee Renae Rodecker, FNP

  • Family Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1144863697
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142367 Issued in TX
Practice address
203 Walls Dr Ste 204
Cleburne, TX 76033-7029
Phone
(817) 556-9190
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 AP142367 TX Primary

Addresses

Primary practice location

203 Walls Dr Ste 204
Cleburne, TX 76033-7029

Mailing address

203 Walls Dr Ste 204
Cleburne, TX 76033-7029
Phone (817) 556-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200409000649 TX Practitioner - Nurse Practitioner 2961831110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

203 Walls Dr
Suite 203
Cleburne, TX 76033-7029
Phone (817) 556-9190

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince May 1, 2020 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2020 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group PastSince Jan 22, 2023 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

203 Walls Dr
Ste 203
Cleburne, TX 76033
Phone (817) 517-5756

203 Walls Dr
Ste 204
Cleburne, TX 76033
Phone (817) 556-9190

Interoperability endpoints

  • Direct secure messaging: arodecker87439@direct.texashealth.org

Organizations & group practices 4

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 1

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1144863697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALLS DR STE 204",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337029",
            "telephone_number": "817-556-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALLS DR STE 204",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337029",
            "telephone_number": "817-556-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODECKER",
        "first_name": "ASHLEE",
        "middle_name": "RENAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-01-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.