KARISSA ANN RODRIGUEZ – Psychiatric/Mental Health Nurse Practitioner, NPI 1164244380

KARISSA ANN RODRIGUEZ is a healthcare provider. based in Spring hill, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11036224 (FL). The NPI Number for KARISSA ANN RODRIGUEZ is 1164244380

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KARISSA ANN RODRIGUEZ
NPI
1164244380
Phone
(352) 428-8844
Address
1041 ALTOONA AVE
Enumeration Date
29 October 2024
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
8139991516
Graduation Year
2024 (2 years ago)
PAC ID
5799212312
Group Practice PAC ID
9234514464
Professional Enrollment ID
I20241220001711
Address ID
FL335115014BR413XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KARISSA ANN RODRIGUEZ

  • 1041 ALTOONA AVE

    SPRING HILL, FL 346096421

    Phone: (352) 428-8844

    Type: Mailing

  • 16332 CORTEZ BLVD

    BROOKSVILLE, FL 346018980

    Phone: (813) 921-0389

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($49).

Total Amount

$207

General + Research + Ownership

Payments

9

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241220001711INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34609)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234514464View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is KARISSA ANN RODRIGUEZ identified in CMS data?
CMS-hosted NPPES data lists KARISSA ANN RODRIGUEZ with NPI 1164244380.
Can I rely on KARISSA ANN RODRIGUEZ being an active provider?
As of the registry snapshot, KARISSA ANN RODRIGUEZ is marked active.
What is KARISSA ANN RODRIGUEZ's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for KARISSA ANN RODRIGUEZ here. Clinical services aligned with this taxonomy classification.
What area does KARISSA ANN RODRIGUEZ serve?
KARISSA ANN RODRIGUEZ's listing highlights Spring Hill, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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