Individual provider Active NPI

Marice K Rodriguez, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1346902418
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP002575 Issued in SD
Practice address
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone
(605) 355-2500
Fax
(605) 355-2517
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R46351 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9991 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP002575 SD Primary

Addresses

Primary practice location

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Mailing address

4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone (605) 322-6368

Other practice location 1

210 9th St SE
Rochester, MN 55904-6756
Phone (507) 288-3443

Other practice location 2

4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone (605) 322-6368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MT, SD, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240909004069 MN Practitioner - Nurse Practitioner 6709326416 Reassigns benefits to 4 organizations
I20251216002977 MT Practitioner - Nurse Practitioner 6709326416 Reassigns benefits to 1 organization
I20251216003313 SD Practitioner - Nurse Practitioner 6709326416 Reassigns benefits to 1 organization
I20251216004122 ND Practitioner - Nurse Practitioner 6709326416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

Rapid City, SD 57702
Phone (701) 323-8800

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R46351NDMDRegistered Nurse
CP002575SDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital Current Accepting new patients
North Memorial Health Care CurrentSince Aug 27, 2024 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Oct 5, 2025 Accepting new patients
Olmsted Medical Center CurrentSince May 1, 2025 Accepting new patients
North Memorial Health Care Current Accepting new patients
Olmsted Medical Center CurrentSince May 1, 2025 Accepting new patients
Northfield Hospital CurrentSince Nov 1, 2024 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Oct 5, 2025 Accepting new patients
North Memorial Health Care CurrentSince Aug 27, 2024 Accepting new patients
Sanford Bismarck CurrentSince Oct 15, 2025 Accepting new patients
Sanford Bismarck CurrentSince Oct 15, 2025 Accepting new patients
Winona Health Services CurrentSince May 1, 2025 Accepting new patients
Northfield Hospital CurrentSince Nov 1, 2024 Accepting new patients
Behavior Management Systems, Inc. PastSince Oct 1, 2021 Accepting new patients

Locations

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1401 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

Interoperability endpoints

  • Direct secure messaging: mrodriguez272964@uihcdirect.org
  • Direct secure messaging: mrodriguez669018@direct.centracare.com

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1346902418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N LEWIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571047111",
            "telephone_number": "605-322-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028114",
            "telephone_number": "605-355-2500",
            "fax_number": "605-355-2517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 9th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559046756",
            "country_code": "US",
            "telephone_number": "507-288-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 N Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571047111",
            "country_code": "US",
            "telephone_number": "605-322-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARICE",
        "middle_name": "K",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R46351",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9991",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP002575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.