MISS ELLEN DIANNE RODRIGUEZ (MD) – Internal Medicine Physician, NPI 1952397978

MISS ELLEN DIANNE RODRIGUEZ (MD) is a healthcare provider. based in Fort pierce, Florida. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. ME112772 (FL). The NPI Number for MISS ELLEN DIANNE RODRIGUEZ (MD) is 1952397978

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MISS ELLEN DIANNE RODRIGUEZ (MD)
NPI
1952397978
Phone
(772) 461-1402
Address
1505 DELAWARE AVE
Enumeration Date
26 September 2005
Last Update Date
11 March 2013

Doctor Profile

Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Secondary Phone
2395742323
Graduation Year
1993 (33 years ago)
PAC ID
8224206222
Group Practice PAC ID
2961504923
Professional Enrollment ID
I20130603000222
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MISS ELLEN DIANNE RODRIGUEZ (MD)

  • Florida Community Health Centers Inc., 1505, Delaware Avenue, Glidden Park, Fort Pierce, Saint Lucie County, Florida, 34950, United States

    FORT PIERCE, FL 349503975

    Phone: (772) 461-1402

    Fax: (772) 461-9795

    Type: Location

  • 4450 S TIFFANY DR

    WEST PALM BEACH, FL 334073241

    Phone: (561) 844-9443

    Fax: (561) 844-1013

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Mauna Kea Technologies, Inc. ($24).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2015-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130603000222IInternal MedicineFLTBD
I20150915001131IInternal MedicineTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes18053$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1713$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 34950)

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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: 2961504923View full group profile
NameSpecialtyState
Hospitalist, Family PracticeFL
Critical Care (Intensivists), Internal MedicineWI
-FL
-FL
Internal MedicineFL
Internal MedicineFL
Hospitalist, Internal MedicineFL
Internal MedicineFL
Hospitalist, Family PracticeFL
-FL

Reviews

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Frequently asked questions

What NPI should I save for MISS ELLEN DIANNE RODRIGUEZ (MD)?
Save NPI 1952397978 if you need a stable reference for MISS ELLEN DIANNE RODRIGUEZ (MD).
Is MISS ELLEN DIANNE RODRIGUEZ (MD)'s NPI currently valid?
The extract we use shows MISS ELLEN DIANNE RODRIGUEZ (MD) as active.
What does MISS ELLEN DIANNE RODRIGUEZ (MD) treat or focus on?
Patients typically see MISS ELLEN DIANNE RODRIGUEZ (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MISS ELLEN DIANNE RODRIGUEZ (MD)?
We surface Fort Pierce, Florida for MISS ELLEN DIANNE RODRIGUEZ (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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