Individual provider Active NPI

Marcia Petra Rodney

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1164011367
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9370571 Issued in FL
Practice address
5240 SW 6TH St
Plantation, FL 33317-4327
Phone
(754) 244-5698
NPI assigned
Jan 12, 2021
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9370571 FL Primary

Addresses

Primary practice location

5240 SW 6TH St
Plantation, FL 33317-4327

Mailing address

5240 SW 6TH St
Plantation, FL 33317-4327
Phone (754) 244-5698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20211214000267 FL Practitioner - Nurse Practitioner 6800286428 Reassigns benefits to 2 organizations
I20251230001570 TX Practitioner - Nurse Practitioner 6800286428 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
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

722 Riverside Dr
Coral Springs, FL 33071-7008
Phone (954) 345-4333

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9370571FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Dec 1, 2021 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Oct 12, 2025 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Dec 1, 2021 Accepting new patients
Clinic for Kidney Diseases PA Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

700 Riverside Dr
Coral Springs, FL 33071
Phone (954) 753-7870

722 Riverside Dr
Coral Springs, FL 33071
Phone (954) 345-4333

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

350 NW 84th Ave
Ste 200
Plantation, FL 33324
Phone (954) 424-4321

8251 W Broward Blvd
Ste 100
Plantation, FL 33324
Phone (954) 908-1024

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marcia.rodney.1@15644.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1164011367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 SW 6TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174327",
            "telephone_number": "754-244-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 SW 6TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174327",
            "telephone_number": "754-244-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODNEY",
        "first_name": "MARCIA",
        "middle_name": "PETRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9370571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.