Individual provider Active NPI

Jesse H Rodriguez, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1629453469
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9213077 Issued in FL
Practice address
218 E Bearss Ave Ste 207
Tampa, FL 33613-1625
Phone
(813) 956-5020
Fax
(833) 947-2250
NPI assigned
Jul 22, 2015
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9213077 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9213077 FL

Addresses

Primary practice location

218 E Bearss Ave Ste 207
Tampa, FL 33613-1625

Mailing address

218 E Bearss Ave Ste 207
Tampa, FL 33613-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160411000701 FL Practitioner - Nurse Practitioner 2668770504 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Lutz, FL 33548
Phone (813) 956-5020

218 E Bearss Ave
Suite 207
Tampa, FL 33613-1625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9213077FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 19, 2023 Accepting new patients
Achieve Wellness Group LLC CurrentSince Feb 1, 2016 Accepting new patients
Bay Area Medical Center, P.a. Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

13039 W Linebaugh Ave
Ste 101
Tampa, FL 33626
Phone (352) 515-6914

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22436/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1629453469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E BEARSS AVE STE 207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E BEARSS AVE STE 207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131625",
            "telephone_number": "813-956-5020",
            "fax_number": "833-947-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSE",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9213077",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9213077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.