DAMARSY RODRIGUEZ – Psychiatric/Mental Health Nurse Practitioner, NPI 1417699109

DAMARSY RODRIGUEZ is a healthcare provider. based in Lehigh acres, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11018603 (FL). The NPI Number for DAMARSY RODRIGUEZ is 1417699109

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DAMARSY RODRIGUEZ
NPI
1417699109
Phone
(239) 303-2700
Address
1303 Homestead Rd N Ste 102
Enumeration Date
12 April 2022
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394346596
Graduation Year
2021 (5 years ago)
PAC ID
9830689207
Group Practice PAC ID
8123113750
Professional Enrollment ID
I20251104004121
Address ID
FL341082426NA865XX867X200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DAMARSY RODRIGUEZ

  • 1303 Homestead Rd N Ste 102

    Lehigh Acres, FL 339366049

    Phone: (239) 303-2700

    Type: Location

  • 124 TROPICANA PKWY W

    CAPE CORAL, FL 339931839

    Phone:

    Type: Mailing

  • 1303 HOMESTEAD RD N STE 103

    LEHIGH ACRES, FL 339366049

    Phone: (239) 303-2700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($60).

Total Amount

$172

General + Research + Ownership

Payments

10

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-11-04

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
I20251104004121INurse 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 33936)

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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: 8123113750View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Psychiatry, NeurologyFL

Reviews

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Frequently asked questions

Is there an official ID for DAMARSY RODRIGUEZ in U.S. healthcare records?
The official identifier for DAMARSY RODRIGUEZ is NPI 1417699109.
Active or inactive — what applies to DAMARSY RODRIGUEZ?
You should see DAMARSY RODRIGUEZ as active in CMS-hosted NPPES data.
What area of care is associated with DAMARSY RODRIGUEZ?
DAMARSY RODRIGUEZ's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with DAMARSY RODRIGUEZ?
Directory geography for DAMARSY RODRIGUEZ centers on Lehigh Acres, Florida.
Does DAMARSY RODRIGUEZ accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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