Individual provider Active NPI

Michelle Angelina De Leon-Rodriguez, FNP-C

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1679295422
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022057 Issued in CA
Practice address
560 E Herndon Ave Ste 201
Fresno, CA 93720-2824
Phone
(559) 437-7311
Fax
(559) 437-7152
NPI assigned
Sep 16, 2022
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 95022057 CA Primary

Addresses

Primary practice location

560 E Herndon Ave Ste 201
Fresno, CA 93720-2824

Mailing address

7370 N Palm Ave Ste 101
Fresno, CA 93711-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221101001738 CA Practitioner - Nurse Practitioner 6305213539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

560 E Herndon Ave
Suite 201
Fresno, CA 93720-2907
Phone (559) 437-7311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Sierra Podiatry Corporation CurrentSince Nov 14, 2023 Accepting new patients
Community Foundation Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Sep 18, 2022 Accepting new patients

Locations

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

560 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 437-7311

6061 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 284-8550

7014 N Whitney Ave
Fresno, CA 93720
Phone (559) 321-2800

7370 N Palm Ave
Ste 101
Fresno, CA 93711
Phone (559) 228-4222

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

2914 W Main St
Visalia, CA 93291
Phone (559) 436-8262

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBGCD

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.

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1679295422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7370 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202824",
            "telephone_number": "559-437-7311",
            "fax_number": "559-437-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON-RODRIGUEZ",
        "first_name": "MICHELLE",
        "middle_name": "ANGELINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.