Jennifer Alicia Rodriguez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

307944 Issued in AZ

Practice address

1520 E Hammer LN Ste 109
Fort Mohave, AZ 86426-6665

Phone

(928) 788-4949

NPI assigned

May 31, 2024

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley View Physician Practices LLCGroup PAC ID 7810045143, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.rodriguez.1@19231.direct.athenahealth.com

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.

• Valley View Physician Practices LLC

  dba Orthopedic Institute of Arizona

  • Orthopaedic Surgery Physician
  • Fort Mohave, AZ
  • NPI 1033359583
  Medicare reassignment Care Compare group NPD
• Valley View Physician Practices, LLC

  dba Valley Veiw OB/GYN

  • Obstetrics & Gynecology Physician
  • Fort Mohave, AZ
  • NPI 1689127102
  NPD
• Valley View Physician Practices, LLC

  dba Valley View Physical Medicine and Rehab

  • Physical Medicine & Rehabilitation Physician
  • Fort Mohave, AZ
  • NPI 1780009621
  NPD

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

• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1386485712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 GEMSTONE AVE",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E HAMMER LN STE 109",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266665",
            "telephone_number": "928-788-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JENNIFER",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "307944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ringtail Emergency Physicians
• Urmee Ripon, PHARMD
• Nicole Ann Roberts, FNP
• Rocky Mountain Holdings, LLC (TriState Care Flight)
• Annie Marie Rodman, MSN/FNP
• Gary A Rosenberg, DPT
• Socorro Ruiz
• Safeway Inc (Safeway Pharmacy #1474)
• Scott I Boggs
• Maura Kathleen Seabury

• Family Nurse Practitioner in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.

Verify at the official NPI Registry.