Individual provider Active NPI

Nicole Marie Rodriguez, APRN

  • Family Nurse Practitioner
  • Lakeway, TX
National Provider Identifier
1750161725
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1140486 Issued in TX
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

Updated by the provider on May 20, 2026

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 ClinicGroup PAC ID 8123923604, 2,426 clinicians
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

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 Hospital, Burnet, TX, CCN 451365
  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1140486TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Jan 16, 2024 Accepting new patients
Ascension Seton Current Accepting new patients
Scott & White Clinic CurrentSince Mar 11, 2026 Accepting new patients
Ascension Seton CurrentSince Jan 16, 2024 Accepting new patients
Scott & White Clinic CurrentSince Mar 11, 2026 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

  • Direct secure messaging: nrodriguez1520477@direct.sw.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.