Individual provider Active NPI

Magdelene Mae Rodriguez, APRN-CNP

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1154091965
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1023726 Issued in TX
Practice address
2108 S M St Ste 4
McAllen, TX 78503-1556
Phone
(956) 362-8530
Fax
(956) 362-8535
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 1023726 TX Primary

Addresses

Primary practice location

2108 S M St Ste 4
McAllen, TX 78503-1556

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8530

Other practice location 1

101 N FM 3167 Ste 106
Rio Grande City, TX 78582-6725
Phone (956) 352-1431

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
I20220308001243 TX Practitioner - Nurse Practitioner 7517351547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

2108 S M St
Suite 4
McAllen, TX 78503-1556
Phone (956) 362-8538

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Family CurrentSince Mar 1, 2022 Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2108 S M St
Ste 4
McAllen, TX 78503
Phone (956) 362-8538

101 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 352-1431

Organizations & group practices 1

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1154091965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8530",
            "fax_number": "956-362-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 S M ST STE 4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031556",
            "telephone_number": "956-362-8530",
            "fax_number": "956-362-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N FM 3167 STE 106",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785826725",
            "country_code": "US",
            "telephone_number": "956-352-1431",
            "fax_number": "956-352-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAGDELENE",
        "middle_name": "MAE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1023726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.