Individual provider Active NPI

Jared Ignacio Rodriguez, NP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1245876499
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235030 Issued in AZ
Practice address
2400 S Ave a
Emergency Department
Yuma, AZ 85364
Phone
(928) 323-2110
NPI assigned
Nov 22, 2019
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN185478 AZ
Family Nurse Practitioner 363LF0000X 235030 AZ Primary

Addresses

Primary practice location

2400 S Ave a
Emergency Department
Yuma, AZ 85364

Mailing address

2400 S Ave a
Emergency Department
Yuma, AZ 85364
Phone (928) 323-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200323001864 AZ Practitioner - Nurse Practitioner 3870920721 Reassigns benefits to 5 organizations

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
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 104
Flagstaff, AZ 86001-3124
Phone (928) 779-3844

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800

1810 Mesquite Ave
Suite B
Lake Havasu City, AZ 86403-5886
Phone (928) 453-4600

20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4251
Phone (480) 776-0021

399 S Malpais LN
Suite 100
Flagstaff, AZ 86001-6269
Phone (928) 286-8830

421 N Humphreys St
Flagstaff, AZ 86001-4531
Phone (425) 243-3719

4730 E Indian School Rd
Suite 211
Phoenix, AZ 85018-5410
Phone (602) 354-3491

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN185478AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Apr 21, 2020 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Mar 4, 2024 Accepting new patients
Grand Canyon Medical Clinic PLLC Family CurrentSince Feb 1, 2024 Accepting new patients
Corner Health Medical Group P a Family CurrentSince Mar 1, 2025 Accepting new patients
303 Emergency Physicians PLLC CurrentSince Jan 29, 2020 Accepting new patients
Northwest Rheumatology PLLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients

Locations (25 of 49)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

13 N San Francisco St
Ste 6
Flagstaff, AZ 86001
Phone (928) 405-0173

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

421 N Humphreys St
Flagstaff, AZ 86001
Phone (928) 774-4825

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

10240 N 43rd Ave
Glendale, AZ 85302

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

7650 S 59th Ave
Ste A105
Laveen, AZ 85339
Phone (602) 476-8888

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

Interoperability endpoints

  • Direct secure messaging: jared.rodriguezfnp.p1@direct.nextcare.nextgenshare.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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1245876499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVE A",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-323-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVE A",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-323-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JARED",
        "middle_name": "IGNACIO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN185478",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "235030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.