Active NPI
Nicole Marie Rodriguez, APRN
- Family Nurse Practitioner
- Lakeway, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1140486
- Practice address
- 3108 Ranch Road 620 S
Lakeway, TX 78738-5635 - Phone
- (512) 654-4200
- Fax
- (512) 654-4201
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1140486 | TX | Primary |
Addresses
Primary practice location
3108 Ranch Road 620 S
Lakeway, TX 78738-5635
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nrodriguez1520477@direct.sw.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240304000087 | TX | Practitioner - Nurse Practitioner | 6507201399 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scott and White ClinicAscension Seton
Practice addresses (Care Compare)
16018 W Hwy 71 Pass
Baylor Scott and White Clinic Bee Cave
Bee Cave, TX 78738-7115
Phone (512) 654-3900
1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000
3108 Ranch Rd 620
Lakeway, TX 78738-5635
Phone (512) 654-4200
525 Ranch Rd
Suite 2900
Kingsland, TX 78639-6000
Phone (325) 388-6912
Hospital & facility affiliations
- Ascension Seton Highland Lakes
- Baylor Scott & White Medical Center - Round Rock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140486 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Current | Accepting new patients | |
| Ascension Seton | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Ascension Seton | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Seton Family of Hospitals | Past | Accepting new patients |
Locations
525 Ranch Road 2900
Kingsland, TX 78639
Phone (325) 388-6912
3108 Ranch Road 620 S
Lakeway, TX 78738
Phone (512) 654-4200
1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362
Interoperability endpoints
- nrodriguez1520477@direct.sw.org
- nicole.rodriguez.1@8363.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Eyewear Supplier
- Temple, TX
- NPI 1457314528
-
- Clinical Medical Laboratory
- Brenham, TX
- NPI 1710468012
-
- Rural Health Clinic/Center
- Brenham, TX
- NPI 1902384951
-
- Family Medicine Physician
- Burnet, TX
- NPI 1073536900
-
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TX
- NPI 1598590101
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Internal Medicine Physician
- Pflugerville, TX
- NPI 1679691729
-
- Certified Registered Nurse Anesthetist
- Burnet, TX
- NPI 1417979014
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1750161725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-994-0371",
"fax_number": "254-215-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 RANCH ROAD 620 S",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787385635",
"telephone_number": "512-654-4200",
"fax_number": "512-654-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-05",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1140486",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nrodriguez1520477@direct.sw.org",
"affiliation": "N",
"address_1": "3108 Ranch Road 620 S",
"city": "Lakeway",
"state": "TX",
"country_code": "US",
"postal_code": "787385635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.