Active NPI
Marisabel Rodriguez, PA
- Physician Assistant
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116013
- Practice address
- 997 US Highway 41 Byp N Ste 201
Venice, FL 34285-6046 - Phone
- (941) 261-4220
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9116013 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 9116013 | FL |
Addresses
Primary practice location
997 US Highway 41 Byp N Ste 201
Venice, FL 34285-6046
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130106700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Florida College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
997 US Hwy 41 Bypass N
Suite 201
Venice, FL 34285-6046
Phone (941) 952-4220
Hospital & facility affiliations
- Sarasota Memorial Hospital
- HCA Florida Englewood Hospital
- Sarasota Memorial Hospital - Venice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9116013 | FL | MD | Family Medicine Physician |
| PA9116013 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Multi-Specialty | Current | Accepting new patients |
| Millennium Physician Group LLC | Multi-Specialty | Current | Accepting new patients |
| Millennium Physician Group LLC | Multi-Specialty | Current | Accepting new patients |
| SMH Physician Services Inc | Multi-Specialty | Past | Accepting new patients |
Locations
3000 S McCall Rd
Englewood, FL 34224
Phone (941) 406-9029
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
997 US Highway 41 Byp N
Ste 201
Venice, FL 34285
Phone (941) 852-4220
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- marisabel.rodriguez.1@4290.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Multi-Specialty
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1295367688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 US HIGHWAY 41 BYP N STE 201",
"city": "VENICE",
"state": "FL",
"postal_code": "342856046",
"telephone_number": "941-261-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARISABEL",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116013",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "9116013",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130106700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.