KATHLEEN R RODRIGUEZ (ACNP) – Acute Care Nurse Practitioner, NPI 1316256746

KATHLEEN R RODRIGUEZ (ACNP) is a healthcare provider. based in Lackland a f b, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. A03453ANP (AR). The NPI Number for KATHLEEN R RODRIGUEZ (ACNP) is 1316256746

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN R RODRIGUEZ (ACNP)
NPI
1316256746
Phone
(210) 916-4549
Address
2200 BERGQUIST DR STE 1
Enumeration Date
4 October 2010
Last Update Date
4 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9728814688
Graduation Year
2014 (12 years ago)
PAC ID
0446576391
Group Practice PAC ID
1759353519
Professional Enrollment ID
I20150311002355
Address ID
TX750745542PL850XXPKWY403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KATHLEEN R RODRIGUEZ (ACNP)

  • 2200 BERGQUIST DR STE 1

    ATTN: CREDENTIALS (CMC)

    LACKLAND A F B, TX 782369908

    Phone: (210) 916-4549

    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)

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: 2015-03-11

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
I20150311002355INurse PractitionerTXTBD

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 minutes1,411214$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes418121$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes114113$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4527$0
View full utilization report →

Insurance plans in this area (ZIP 78236)

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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: 1759353519View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerMA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerTX
-TX
-NY

Reviews

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Frequently asked questions

Where can patients find KATHLEEN R RODRIGUEZ (ACNP)'s NPI?
You can confirm KATHLEEN R RODRIGUEZ (ACNP) with NPI 1316256746; it appears in the national provider directory.
Does this profile mean KATHLEEN R RODRIGUEZ (ACNP) is currently active?
Yes — KATHLEEN R RODRIGUEZ (ACNP) appears active in the national provider directory.
Does KATHLEEN R RODRIGUEZ (ACNP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for KATHLEEN R RODRIGUEZ (ACNP). Clinical services aligned with this taxonomy classification.
What location shows for KATHLEEN R RODRIGUEZ (ACNP)?
We surface Lackland A F B, Texas for KATHLEEN R RODRIGUEZ (ACNP) based on available NPPES addresses.
Is KATHLEEN R RODRIGUEZ (ACNP) a real provider?
This page reflects official NPPES data for NPI 1316256746. Always confirm identity and privileges with the practice and licensing boards.

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