Individual provider Active NPI

Ernesto Alonzo Rodriguez, CRNA

  • Certified Registered Nurse Anesthetist
  • Janesville, WI
National Provider Identifier
1235161027
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
047961 Issued in TX
Practice address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone
(608) 756-6278
Fax
(608) 756-6289
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 047961 TX Primary
Registered Nurse 163W00000X 526665 TX
Certified Registered Nurse Anesthetist 367500000X CRNA00638 NM

Addresses

Primary practice location

1000 Mineral Point Ave
Janesville, WI 53548-2940

Mailing address

2317 W 5TH Street
PMB 304
Plainview, TX 79072
Phone (806) 283-7989

Other practice location 1

320 N Main
Lockney, TX 79241
Phone (806) 652-3373 ext. 230

Other identifiers 2

IdentifierTypeStateIssuer
088734109MedicaidTX
8Y5244OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, NY, MI, IN, VA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040608000970 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395737886 Reassigns benefits to 1 organization
I20081125000376 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395737886 Reassigns benefits to 1 organization
I20090813000200 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395737886 Reassigns benefits to 1 organization
I20121112000333 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395737886 Reassigns benefits to 1 organization
I20150619001549 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395737886 Reassigns benefits to 1 organization
I20180613002440 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395737886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
526665TXMDRegistered Nurse
47961TXMDPharmacist
3083CAMDMassage Therapist
CRNA00638NMMDCertified Registered Nurse Anesthetist
047961TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC CurrentSince Oct 15, 2022 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 16, 2020 Accepting new patients
Portage Hospital LLC CurrentSince Jun 27, 2017 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Mar 6, 2025 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
One Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 26, 2015 Accepting new patients
Portage Hospital LLC CurrentSince Jun 27, 2017 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Conti-Care, LLC Past Accepting new patients
Radiology Associates of Abilene PA PastSince Jul 24, 2022 Accepting new patients
Great Lakes Anesthesia Indiana and Michigan, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Martinsville Anesthesia, PC Past Accepting new patients
Laredo Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1220 Missouri Ave
Rm 2547
Jeffersonville, IN 47130

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

5420 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 692-5888

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 16

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.

View all 16

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1235161027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 W 5TH STREET",
            "address_2": "PMB 304",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "79072",
            "telephone_number": "806-283-7989",
            "fax_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6278",
            "fax_number": "608-756-6289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N MAIN",
            "address_purpose": "LOCATION",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "79241",
            "country_code": "US",
            "telephone_number": "806-652-3373 x230",
            "fax_number": "806-652-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ERNESTO",
        "middle_name": "ALONZO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "047961",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "526665",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA00638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088734109",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8Y5244",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.