Individual provider Active NPI

Desiray Flores Rodriguez, APRN

  • Family Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1417849449
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1206555 Issued in TX
Practice address
3400 E Central Texas Expy Ste 101
Killeen, TX 76543-7326
Phone
(254) 741-6641
Fax
(254) 537-4693
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1206555 TX Primary

Addresses

Primary practice location

3400 E Central Texas Expy Ste 101
Killeen, TX 76543-7326

Mailing address

101 W Louis Henna Blvd Ste 300
Austin, TX 78728-1203
Phone (512) 244-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250918003496 TX Practitioner - Nurse Practitioner 8628572971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

2857 W Washington St
Stephenville, TX 76401-3706
Phone (254) 965-5273

3400 E Central Texas Expy
Suite 101
Killeen, TX 76543-7326
Phone (254) 741-6641

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Sep 22, 2025 Accepting new patients
DCS Medical PA CurrentSince Sep 22, 2025 Accepting new patients
Mark Malone, MD PA CurrentSince Sep 5, 2025 Accepting new patients
Mark Malone MD PA CurrentSince Sep 5, 2025 Accepting new patients
DCS Medical PA Past Accepting new patients

Locations

6000 S Mopac Expy
Ste 100
Austin, TX 78749

101 W Louis Henna Blvd
Ste 300
Austin, TX 78728

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

3400 E Central Texas Expy
Ste 101
Killeen, TX 76543

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

2857 W Washington St
Stephenville, TX 76401
Phone (254) 965-5273

Interoperability endpoints

  • Direct secure messaging: desiray.rodriguez.1@24201.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1417849449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LOUIS HENNA BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281203",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E CENTRAL TEXAS EXPY STE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437326",
            "telephone_number": "254-741-6641",
            "fax_number": "254-537-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DESIRAY",
        "middle_name": "FLORES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1206555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.