MS. NATHALI RODRIGUEZ (PA-C) – Physician Assistant, NPI 1679098701
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. NATHALI RODRIGUEZ (PA-C)
4700 N Habana Ave Ste 303
Tampa, FL 336147118
Phone: (813) 341-3285
Fax: (813) 341-3284
Type: Location
2438 Bloomingdale Ave
Valrico, FL 335966403
Phone: (813) 440-5544
Fax: (813) 440-5545
Type: Location
6901 Simmons Loop Ste 207
Riverview, FL 335789498
Phone: (813) 868-3052
Fax: (813) 868-3046
Type: Location
South Lakeland Drive, Lakeland, Norfolk, Virginia, 23513, United States
LAKELAND, FL 338132622
Phone: (813) 614-1500
Fax: (863) 614-1501
Type: Mailing
5210 WEBB RD
TAMPA, FL 336154518
Phone: (813) 882-9986
Fax: (813) 341-3259
Type: Mailing
13321 N 56TH ST
TAMPA, FL 336171161
Phone: (813) 341-1488
Fax: (813) 341-1489
Type: Location
PO BOX 23329
NEW YORK, NY 100873329
Phone:
Type: Mailing
6901 SIMMONS LOOP STE 207
RIVERVIEW, FL 335789498
Phone: (813) 868-3052
Fax: (813) 868-3046
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $2,540.
Total Amount is formed as General ($2,540) + Research ($0) + Ownership ($0) = $2,540.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($624).
Total Amount
$2,540
General + Research + Ownership
Payments
68
Total payment records
General Amount
$2,540
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arcutis Biotherapeutics, Inc. | $624 |
| Janssen Biotech, Inc. | $553 |
| ABBVIE INC. | $488 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $217 |
| UCB, Inc. | $121 |
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: 2019-09-19
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 |
|---|---|---|---|---|
| I20190919001822 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 27 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 19 | 19 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 17 | 16 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | MD | |
| Physician Assistant | IA | |
| D E R M A T O L O G Y | FL |
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