Active NPI
Nicholas John Casey Rodriguez, AG-ACNP
- Acute Care Nurse Practitioner
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2020018088
- Practice address
- 1001 S Horsebarn Rd
Rogers, AR 72758-8184 - Phone
- (479) 273-7700
- Fax
- (479) 273-7753
- NPI assigned
- Jan 22, 2015
- Last updated
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ATP-000747 | AR | |
| Acute Care Nurse Practitioner | 363LA2100X | 2020018088 | MO | Primary |
Addresses
Primary practice location
1001 S Horsebarn Rd
Rogers, AR 72758-8184
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (479) 273-7700
Other practice location 1
2790 Clay Edwards Dr Ste 625
North Kansas City, MO 64116-3278
Phone (816) 455-3990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 394391ZMTF | Other | AR | PROVIDER TRANSACTION ACCESS NUMBER (PTAN) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Northwest Arkansas Communities
Practice addresses (Care Compare)
1001 S Horsebarn Rd
Rogers, AR 72758-8184
Phone (479) 273-7700
2710 S Rife Medical LN
Rogers, AR 72758-1452
2790 Clay Edwards Dr
Suite 625
North Kansas City, MO 64116-3278
Phone (816) 455-3990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP-000747 | AR | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
1001 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 273-7700
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
2790 Clay Edwards Dr
Ste 600
North Kansas City, MO 64116
Phone (816) 561-3003
2790 Clay Edwards Dr
Ste 625
North Kansas City, MO 64116
Phone (816) 421-3115
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
dba Mercy Clinic General Surgery - Horsebarn Road
- Surgery Physician
- Rogers, AR
- NPI 1538460662
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1710376165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084",
"telephone_number": "479-273-7700",
"fax_number": "479-273-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S HORSEBARN RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588184",
"telephone_number": "479-273-7700",
"fax_number": "479-273-7753"
}
],
"practiceLocations": [
{
"address_1": "2790 Clay Edwards Dr Ste 625",
"address_purpose": "LOCATION",
"city": "North Kansas City",
"state": "MO",
"postal_code": "641163278",
"country_code": "US",
"telephone_number": "816-455-3990",
"fax_number": "816-455-5351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NICHOLAS",
"middle_name": "JOHN CASEY",
"name_prefix": "Mr.",
"credential": "AG-ACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-22",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AR",
"license": "ATP-000747",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2020018088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
"identifier": "394391ZMTF",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
- Madeline Robinson, DNP-FNP
- Jennifer Robles, COTA/L
- Robyn Butterfield Counseling, PLLC
- Caitlin Estelle Rochelle, MPAS
- Cynthia Rodriguez
- Collin Roe, ADC, BS
- Tasha Roe
- Roger Alderson, MD,PA (Plastic Surgery Clinic of Northwest Arkansas)
- Rogers Ar Ophthalmology ASC LLC (Boozman-Hof Eye Surgery & Laser Center)
- Rogers Back to Health Chiropractic (Back to Health Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.