JAQUELINE RODRIGUEZ (PA-C) – Physician Assistant, NPI 1780346130

JAQUELINE RODRIGUEZ (PA-C) is a healthcare provider. based in Pembroke pines, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9115149 (FL). The NPI Number for JAQUELINE RODRIGUEZ (PA-C) is 1780346130

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JAQUELINE RODRIGUEZ (PA-C)
NPI
1780346130
Phone
(954) 620-0011
Address
160 S FLAMINGO RD
Enumeration Date
12 October 2021
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9546200011
Graduation Year
2021 (5 years ago)
PAC ID
7719353143
Group Practice PAC ID
1254427362
Professional Enrollment ID
I20221026000849
Address ID
FL330271720PE160XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JAQUELINE RODRIGUEZ (PA-C)

  • 160 S FLAMINGO RD

    PEMBROKE PINES, FL 330271720

    Phone: (954) 620-0011

    Fax: (954) 620-0238

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 337 Open Payments records for all available years, with a total value of $7,566.

Total Amount is formed as General ($7,566) + Research ($0) + Ownership ($0) = $7,566.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($1,159).

Total Amount

$7,566

General + Research + Ownership

Payments

337

Total payment records

General Amount

$7,566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-10-26

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
I20221026000849IPhysician AssistantFLTBD

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 33027)

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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: 1254427362View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineFL
Physician AssistantFL
Rheumatology, Internal MedicineFL
Rheumatology, Internal MedicineFL
R H E U M A T O L O G YFL

Reviews

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Frequently asked questions

How is JAQUELINE RODRIGUEZ (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JAQUELINE RODRIGUEZ (PA-C) with NPI 1780346130.
Does CMS list JAQUELINE RODRIGUEZ (PA-C) as active?
Yes — JAQUELINE RODRIGUEZ (PA-C) is active in the NPI listing used on this page.
What is JAQUELINE RODRIGUEZ (PA-C)'s primary classification?
Physician Assistant is the headline specialty for JAQUELINE RODRIGUEZ (PA-C) here. Clinical services aligned with this taxonomy classification.
Does JAQUELINE RODRIGUEZ (PA-C) list a practice location?
Patients near Pembroke Pines, Florida may find JAQUELINE RODRIGUEZ (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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