Individual provider Active NPI

Angelica Maria Rodriguez, PA

  • Surgical Physician Assistant
  • Clearwater, FL
National Provider Identifier
1215319553
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9108640 Issued in FL
Practice address
455 Pinellas St Ste 320
Clearwater, FL 33756-3369
Phone
(727) 446-2273
Fax
(727) 441-4966
NPI assigned
Jun 23, 2015
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9108640 FL Primary

Addresses

Primary practice location

455 Pinellas St Ste 320
Clearwater, FL 33756-3369

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 281-9065

Other practice location 1

217 Hillcrest St
Orlando, FL 32801-1211
Phone (407) 425-1566

Other practice location 2

1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone (970) 384-7290

Other practice location 3

1625 SE 3 Ave
Suite 300
Fort Lauderdale, FL 33316-2521
Phone (954) 355-4665

Other identifiers 1

IdentifierTypeStateIssuer
015424500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angelica.rodriguezpa-c@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150915001636 FL Practitioner - Physician Assistant 1759698376 Reassigns benefits to 7 organizations
I20220204000529 CO Practitioner - Physician Assistant 1759698376 Reassigns benefits to 1 organization
I20230510002577 GA Practitioner - Physician Assistant 1759698376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

311 9TH St N
Naples, FL 34102-5886

3302 Bonita Beach Rd
Suite 170
Bonita Springs, FL 34134-4217
Phone (239) 624-1050

350 7TH St N
Naples, FL 34102-5754

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108640FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jul 1, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 31, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 31, 2023 Accepting new patients
The Emory Clinic Inc CurrentSince Jan 9, 2023 Accepting new patients
Valley View Hospital Association CurrentSince Nov 2, 2021 Accepting new patients
Valley View Hospital Association CurrentSince Nov 2, 2021 Accepting new patients
Baptist Medical Group LLC CurrentSince Mar 15, 2021 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
North Broward Hospital District CurrentSince May 2, 2016 Accepting new patients
Cardiovascular Surgeons, P.a. CurrentSince Sep 1, 2023 Accepting new patients
North Broward Hospital District CurrentSince May 2, 2016 Accepting new patients
Nchmd Inc Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 281-9390

455 Pinellas St
Ste 320
Clearwater, FL 33756
Phone (727) 446-2273

1625 SE 3rd Ave
Ste 355
Fort Lauderdale, FL 33316
Phone (954) 355-5001

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1625 SE 3rd Ave
Ste 300
Ft Lauderdale, FL 33316
Phone (954) 355-4665

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

217 Hillcrest St
Orlando, FL 32801
Phone (407) 425-1566

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: angelica.rodriguezpa-c@direct.mybaycare.org

Organizations & group practices 18

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.

View all 18

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1215319553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-281-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 320",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563369",
            "telephone_number": "727-446-2273",
            "fax_number": "727-441-4966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Hillcrest St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328011211",
            "country_code": "US",
            "telephone_number": "407-425-1566",
            "fax_number": "407-422-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1906 Blake Ave",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816014227",
            "country_code": "US",
            "telephone_number": "970-384-7290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 SE 3 Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162521",
            "country_code": "US",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9108640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015424500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelica.rodriguezpa-c@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.