DR. JESSICA RODRIGUEZ (DC) – Chiropractor, NPI 1679049613

DR. JESSICA RODRIGUEZ (DC) is a healthcare provider. based in Port orange, Florida. specializing in Chiropractor. They hold the professional credentials DC. They hold a License No. 12616 (FL). The NPI Number for DR. JESSICA RODRIGUEZ (DC) is 1679049613

Main info

Female
8 Years Of Experience
Name
DR. JESSICA RODRIGUEZ (DC)
NPI
1679049613
Phone
(321) 609-0655
Address
1130 LOBLOLLY LN
Enumeration Date
17 October 2018
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
4075076976
Graduation Year
2018 (8 years ago)
PAC ID
6800128828
Group Practice PAC ID
3072653971
Professional Enrollment ID
I20191024001087
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for DR. JESSICA RODRIGUEZ (DC)

  • 1130, Loblolly Lane, Port Orange, Volusia County, Florida, 32129, United States

    PORT ORANGE, FL 321294011

    Phone: (321) 609-0655

    Type: Mailing

  • 755, Westmoreland Road, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321141626

    Phone: (386) 226-0011

    Type: Location

  • HC 2 BOX 121011

    MOCA, PR 006768356

    Phone: (787) 877-9846

    Type: Mailing

  • 69 CALLE PEDRO SANTOS

    MOCA, PR 006764014

    Phone: (787) 877-9846

    Type: Location

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: 2022-05-24

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
I20220524001848IChiropracticPRTBD

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 32129)

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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: 3072653971View full group profile
NameSpecialtyState
C H I R O P R A C T I CNY
-FL
C H I R O P R A C T I COH

Reviews

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Frequently asked questions

How do payers reference DR. JESSICA RODRIGUEZ (DC)?
For DR. JESSICA RODRIGUEZ (DC), use NPI 1679049613 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JESSICA RODRIGUEZ (DC)?
You should see DR. JESSICA RODRIGUEZ (DC) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JESSICA RODRIGUEZ (DC)?
DR. JESSICA RODRIGUEZ (DC)'s specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JESSICA RODRIGUEZ (DC)?
Directory geography for DR. JESSICA RODRIGUEZ (DC) centers on Port Orange, Florida.
Does DR. JESSICA RODRIGUEZ (DC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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