MR. RODOLFO IV VALENZUELA (NP) – Family Nurse Practitioner, NPI 1740367374
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,504 NURSE PRACTITIONER in AZ
Provider Addresses for MR. RODOLFO IV VALENZUELA (NP)
1914 E. JUAN SANCHEZ BLVD.
2
SAN LUIS, AZ 853496805
Phone: (928) 627-2055
Fax: (928) 627-2456
Type: Location
San Luis Post Office, Main Street, San Luis Townsite, San Luis, Yuma County, Arizona, 85349, United States
1914 E. JUAN SANCHEZ BLVD. STE. 2
SAN LUIS, AZ 853496805
Phone: (928) 627-2055
Fax: (928) 627-2456
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040809001281 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 15 | $0 |
Insurance plans in this area (ZIP 85349)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists) | WI | |
| Internal Medicine | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| - | AZ | |
| General Surgery | AZ | |
| Vascular Surgery | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Certified Nurse Midwife (Cnm) | AZ | |
| Cardiac Surgery, Thoracic Surgery | AZ | |
| Cardiovascular Disease (Cardiology) | AZ |
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