Johnathan A Rodriquez, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-75249-032 Issued in KS

Practice address

1415 N Penn Ave
Independence, KS 67301-2222

Phone

(620) 331-2400

Fax

(620) 331-0747

NPI assigned

Sep 20, 2010

Last updated

May 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fredonia Regional HospitalGroup PAC ID 5294783270, shared by 3 NPIs, 9 clinicians

Susan B Allen Memorial HospitalGroup PAC ID 7719898980, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fredonia Regional Hospital Hospital, Fredonia, KS, CCN 171374
• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
• Wilson Medical Center Hospital, Neodesha, KS, CCN 171344

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
• FHIR API: https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/
• Direct secure messaging: johnathan.rodriquez.1@6882.direct.athenahealth.com
• Direct secure messaging: johnathan.rodriquez@direct.stjohnhealthsystem.com
• Direct secure messaging: johnathan.rodriquez@khindirect.org

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.

• Susan B. Allen Memorial Hospital

  • General Practice Physician
  • El Dorado, KS
  • NPI 1164554820
  Medicare reassignment Care Compare group NPD
• Wilson County Hospital

  dba Wilson Medical Center Professional

  • Nurse Practitioner
  • Neodesha, KS
  • NPI 1992842942
  Medicare reassignment NPD
• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006
  Medicare reassignment NPD (past)
• Susan B. Allen Memorial Hospital

  dba SBA Medical Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • El Dorado, KS
  • NPI 1124594957
  NPD
• Susan B. Allen Memorial Hospital

  dba SBA Urgent Care Clinic

  • Urgent Care Clinic/Center
  • El Dorado, KS
  • NPI 1588156574
  NPD
• Gregory H. Mears, DO

  dba Mears Medical Enterprises

  • Family Medicine Physician
  • Independence, KS
  • NPI 1083772172
  NPD (past)
• Ahs Oklahoma Physician Group LLC

  dba Utica Park Clinic

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006
  Care Compare affiliation
• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation
• Wilson County Hospital

  • Critical Access Hospital
  • Neodesha, KS
  • NPI 1669441176
  Care Compare affiliation

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1811205214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667570360",
            "telephone_number": "620-325-2611",
            "fax_number": "620-325-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N PENN AVE",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673012222",
            "telephone_number": "620-331-2400",
            "fax_number": "620-331-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUEZ",
        "first_name": "JOHNATHAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75249-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A Rice, PT
• Brenda Richardson
• Robert M Osborn DO PA
• Baylee Robinson
• Leslie D Robinson, PTA
• Courtlynn Rose
• Julia May Rosenberg, LMSW
• Alan Duane Rousselle
• Boosya(Bruce) Saichompoo, LMSW
• Sandra L Easter

• Nurse Practitioner in Independence, KS
• Providers in Independence, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.