Individual provider Active NPI

Misty Rodriguez, APN

  • Adult Health Nurse Practitioner
  • Perry, FL
National Provider Identifier
1508335290
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11013559 Issued in FL
Practice address
207 Marshall Dr
Perry, FL 32347-1835
Phone
(908) 873-9940
NPI assigned
Nov 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00880800 NJ
Adult Health Nurse Practitioner 363LA2200X 11013559 FL Primary

Addresses

Primary practice location

207 Marshall Dr
Perry, FL 32347-1835

Mailing address

2511 Opal CT
Tallahassee, FL 32309-7275
Phone (908) 873-9940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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
I20190104001372 NJ Practitioner - Nurse Practitioner 7517203086 Reassigns benefits to 2 organizations
I20211129000648 FL Practitioner - Nurse Practitioner 7517203086 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians
North Florida Nephrology AssociatesGroup PAC ID 9436242211, 9 clinicians

Practice addresses (Care Compare)

2203 N Lois Ave
Suite 814
Tampa, FL 33607-2388
Phone (813) 608-5633

2617 Mitcham Dr
Suite 102
Tallahassee, FL 32308-5479
Phone (850) 878-1171

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013559FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Nephrology Associates Current Accepting new patients
Advanced Wound Care, LLC CurrentSince Sep 4, 2025 Accepting new patients
Florida Rehab Specialists, PLLC CurrentSince Nov 17, 2024 Accepting new patients
Total Health Chiropractic CurrentSince Mar 8, 2021 Accepting new patients
Mana Health Partners PA CurrentSince Dec 1, 2024 Accepting new patients
Chma of FL, PLLC Adult Health CurrentSince Nov 1, 2021 Accepting new patients
Ariel Quinones MD PastSince Apr 15, 2019 Accepting new patients
Psgfl MSSP, LLC PastSince Jul 28, 2025 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

901 NW 8th Ave
Ste D6
Gainesville, FL 32601

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

207 Marshall Dr
Perry, FL 32347
Phone (850) 584-6334

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

2617 Mitcham Dr
Ste 102
Tallahassee, FL 32308
Phone (850) 878-1171

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

300 NW 1st Ave
Williston, FL 32696
Phone (352) 528-3561

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

566 Union Ave
#A
Bridgewater, NJ 08807
Phone (908) 231-8088

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Interoperability endpoints

  • Direct secure messaging: misty.rodriguez@direct.digidms.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72257
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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 1

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": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1508335290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 OPAL CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323097275",
            "telephone_number": "908-873-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MARSHALL DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471835",
            "telephone_number": "908-873-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MISTY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00880800",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11013559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.