Individual provider Active NPI

Jayce Rodriguez, PA-C

  • Physician Assistant
  • Carlsbad, NM
National Provider Identifier
1356732267
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09524 Issued in TX
Practice address
2405 W Pierce St
Carlsbad, NM 88220-3513
Phone
(575) 243-8084
NPI assigned
Feb 13, 2015
Reactivated
Dec 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2024-0147 NM
Physician Assistant 363A00000X PA09524 TX Primary

Addresses

Primary practice location

2405 W Pierce St
Carlsbad, NM 88220-3513

Mailing address

2405 W Pierce St
Carlsbad, NM 88220-3513
Phone (575) 243-8084

Other names 1

  • Mr. Jayce Rodriguez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20201111003154 TX Practitioner - Physician Assistant 5890105340 Reassigns benefits to 1 organization
I20250910002012 NM Practitioner - Physician Assistant 5890105340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yort LLCGroup PAC ID 1850894593, 2 clinicians

Practice addresses (Care Compare)

2405 W Pierce St
Carlsbad, NM 88220-3513
Phone (575) 288-2600

Hospital & facility affiliations

  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Dermatology PastSince Oct 12, 2025 Accepting new patients
Dermatology & Cutaneous Surgery PLLC PastSince Apr 18, 2011 Accepting new patients

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1356732267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203513",
            "telephone_number": "575-243-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203513",
            "telephone_number": "575-243-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAYCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "deactivation_date": "2017-12-06",
        "reactivation_date": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2024-0147",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYCE",
            "last_name": "RODRIGUEZ",
            "prefix": "MR.",
            "credential": "P.A.-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.