Individual provider Active NPI

Stephanie Lynn Rodriguez, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1235647033
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022195 Issued in OH
Practice address
967 Bellefontaine Ave
Lima, OH 45804
Phone
(419) 996-5895
Fax
(419) 996-5896
NPI assigned
Jan 15, 2018
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024192070 VA
Family Nurse Practitioner 363LF0000X 4040920 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.022195 OH Primary
Family Nurse Practitioner 363LF0000X 71016538A IN

Addresses

Primary practice location

967 Bellefontaine Ave
Lima, OH 45804

Mailing address

967 Bellefontaine Ave
Lima, OH 45804-2888
Phone (419) 996-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, NC, IN, KY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20180226002130 OH Practitioner - Nurse Practitioner 9335400860 Reassigns benefits to 9 organizations
I20250424002420 VA Practitioner - Nurse Practitioner 9335400860 Reassigns benefits to 5 organizations
I20250429003239 NC Practitioner - Nurse Practitioner 9335400860 Reassigns benefits to 4 organizations
I20250811001483 IN Practitioner - Nurse Practitioner 9335400860 Reassigns benefits to 5 organizations
I20250826001855 KY Practitioner - Nurse Practitioner 9335400860 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians
Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians
Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus WH Mid-Atlantic Care LLCGroup PAC ID 8921534744, 89 clinicians

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

106 Gover St
Somerset, KY 42501-3332
Phone (844) 210-6186

115 N Portland St
Chesterville, OH 43317-5006
Phone (844) 210-6186

1801 Camelot Dr
Virginia Beach, VA 23454-2401
Phone (844) 210-6186

2100 Midway St
Columbus, IN 47201-3722
Phone (855) 743-2247

212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247

214 Lanefield Rd
Warsaw, NC 28398-8719
Phone (844) 210-6186

250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (855) 743-2247

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

4701 Cox Rd
Suite 285
Glen Allen, VA 23060-6808
Phone (855) 743-2247

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Value Care, LLC CurrentSince Nov 1, 2025 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Eventus WH Mid-Atlantic Care LLC Nurse Practitioner CurrentSince Oct 10, 2025 Accepting new patients
Eventus Ecs, Inc Nurse Practitioner CurrentSince Dec 12, 2024 Accepting new patients
Phoenix Vitality, LLC Current Accepting new patients
Extended Care Specialists, Inc Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Great Lakes Medical Services LLC CurrentSince Jul 11, 2019 Accepting new patients
Vitalcare Health Services PC Nurse Practitioner CurrentSince Nov 11, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Eventus Ecs - Kentucky, PLLC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Eventus Premier Healthcare LLC Nurse Practitioner CurrentSince Feb 14, 2025 Accepting new patients
Eventus WH Southeast, LLC Nurse Practitioner CurrentSince Mar 2, 2025 Accepting new patients
Eventus Wholehealth, PLLC Nurse Practitioner CurrentSince Feb 27, 2025 Accepting new patients
Eventus WH Midwest Care, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince May 10, 2024 Accepting new patients
Mobile Medical, Inc. CurrentSince Nov 11, 2018 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Sep 4, 2018 Accepting new patients
Mobile Medical Inc CurrentSince Nov 11, 2018 Accepting new patients
Eventus WH Mid-Atlantic, LLC Nurse Practitioner CurrentSince Oct 10, 2025 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Sep 4, 2018 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Eventus Ecs - Ohio LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Vitalcare Medical Services PA Nurse Practitioner PastSince Aug 25, 2025 Accepting new patients

Locations (25 of 30)

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

3512 Stellhorn Rd
Fort Wayne, IN 46815

4430 Elsdale Dr
Fort Wayne, IN 46835
Phone (260) 485-8157

150 W Market St
Ste 400
Indianapolis, IN 46204

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 566-2035

8398 Mississippi St
Fl 2
Merrillville, IN 46410

922 State St
Fl 4
Bowling Green, KY 42101

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

106 Gover St
Somerset, KY 42501
Phone (606) 679-8331

1070 Old Ocean Hwy
Bolivia, NC 28422
Phone (910) 755-5955

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

214 Lanefield Rd
Warsaw, NC 28398
Phone (910) 293-3144

5725 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 332-8395

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

1426 Scott St
Napoleon, OH 43545
Phone (419) 599-5600

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

717 S 30th St
Newark, OH 43056
Phone (740) 522-1171

25660 Dixie Hwy
Perrysburg, OH 43551
Phone (419) 872-5343

25660 Dixie Hwy
Ste B
Perrysburg, OH 43551
Phone (419) 872-5343

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: stephanie.rodriguez.p19@direct.360care.nextgenshare.com
  • Direct secure messaging: stephanie.rodriguez@779530956636164.direct.elationemr.com

Organizations & group practices 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1235647033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042888",
            "telephone_number": "419-996-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45804",
            "telephone_number": "419-996-5895",
            "fax_number": "419-996-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4040920",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022195",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016538A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.