Jose Andres Chavac Rodas, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11031944 Issued in FL

Practice address

275 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3529

Phone

(321) 799-7777

NPI assigned

Apr 17, 2023

Last updated

Apr 19, 2024By 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 FL

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melbourne Emergency Group, LLCGroup PAC ID 2860783925, 10 clinicians

Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Emergency Physicians of Central Florida LLPGroup PAC ID 1850296567, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Emergency Physicians of Central Florida LLP

  • Emergency Medicine Physician
  • Orlando, FL
  • NPI 1326033341
  Medicare reassignment Care Compare group NPD
• Medfast Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1285735605
  Medicare reassignment Care Compare group NPD
• Melbourne Emergency Group, LLC

  • Emergency Medicine Physician
  • Melbourne, FL
  • NPI 1932562915

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Palm Bay, FL
  • NPI 1366710170
  NPD
• Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Sebastian, FL
  • NPI 1376421479
  NPD

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1891481370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BARTON BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313529",
            "telephone_number": "321-799-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVAC RODAS",
        "first_name": "JOSE",
        "middle_name": "ANDRES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11031944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Caudle
• Central Brevard Radiology PA
• Chamas Podiatry Associates, P.a.
• Charles E Chamas, DPM
• Maurice Chao, DO
• David Che, D.D.S
• Yuan Chen
• Fadila L Clarisse, LMT
• Kelly-Michelle Clark Satcher, EDD
• Charles Manley Clodfelter Jr., MD

• Nurse Practitioner in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.