Individual provider Active NPI

Rachelle W Rodriguez, RN, FNP

  • Family Nurse Practitioner
  • Stevensville, MT
National Provider Identifier
1245377977
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239262 Issued in MT
Practice address
4039 US Highway 93 N Ste C
Stevensville, MT 59870-6482
Phone
(406) 241-2977
Fax
(833) 973-5102
NPI assigned
Jan 31, 2007
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN588315 CA
Registered Nurse 163W00000X 239047 MT
Nurse Practitioner 363L00000X NP16943 CA
Family Nurse Practitioner 363LF0000X 239262 MT Primary

Addresses

Primary practice location

4039 US Highway 93 N Ste C
Stevensville, MT 59870-6482

Mailing address

PO Box 695
Stevensville, MT 59870-0695
Phone (406) 241-2977

Other practice location 1

19066 Magnolia St
Huntington Beach, CA 92646-2232
Phone (949) 610-1042

Other identifiers 1

IdentifierTypeStateIssuer
1245377977MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 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
I20070323000511 CA Practitioner - Nurse Practitioner 2163526575 Reassigns benefits to 1 organization
I20250605003198 MT Practitioner - Nurse Practitioner 2163526575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Un of California, Irvine, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4039 US Hwy 93 N
Suite C
Stevensville, MT 59870-6482
Phone (406) 241-2977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN588315CAMDRegistered Nurse
239047MTMDRegistered Nurse
16943CAMDOccupational Therapist
NP16943CAMDNurse Practitioner
239262MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Jul 6, 2018 Accepting new patients
UC Regents Current Accepting new patients
Bitterroot Integrative Health and Wellness Family CurrentSince Apr 2, 2025 Accepting new patients
UC Regents CurrentSince Jul 6, 2018 Accepting new patients
La Paz Chiropractic and Rehabilitation, Inc. Preziosi, Adamo PastSince Feb 9, 2020 Accepting new patients
Pfautz Chiropractic Corporation, a Professional Corporation Past Accepting new patients
La Paz Chiropractic and Rehab Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
#494
Orange, CA 92868

4039 US Highway 93 N
Ste C
Stevensville, MT 59870
Phone (406) 241-2977

Interoperability endpoints

  • Direct secure messaging: rachelle.rodriguez.1@31621.direct.athenahealth.com

Organizations & group practices 7

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1245377977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598700695",
            "telephone_number": "406-241-2977",
            "fax_number": "833-973-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 US HIGHWAY 93 N STE C",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706482",
            "telephone_number": "406-241-2977",
            "fax_number": "833-973-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19066 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926462232",
            "country_code": "US",
            "telephone_number": "949-610-1042",
            "fax_number": "949-610-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RACHELLE",
        "middle_name": "W",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN588315",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "239047",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP16943",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "239262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245377977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.