NICOLE MARIE RODRIGUEZ (APRN) – Family Nurse Practitioner, NPI 1750161725

NICOLE MARIE RODRIGUEZ (APRN) is a healthcare provider. based in Kingsland, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1140486 (TX). The NPI Number for NICOLE MARIE RODRIGUEZ (APRN) is 1750161725

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE RODRIGUEZ (APRN)
NPI
1750161725
Phone
(512) 715-3106
Address
525 RANCH ROAD 2900
Enumeration Date
5 October 2023
Last Update Date
22 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3253886912
Graduation Year
2023 (3 years ago)
PAC ID
6507201399
Group Practice PAC ID
5193634293
Professional Enrollment ID
I20240304000087
Address ID
TX786396000KI525XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for NICOLE MARIE RODRIGUEZ (APRN)

  • 525 RANCH ROAD 2900

    KINGSLAND, TX 786396000

    Phone: (512) 715-3106

    Fax: (325) 388-6935

    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 21 Open Payments records for all available years, with a total value of $415.

Total Amount is formed as General ($415) + Research ($0) + Ownership ($0) = $415.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Amgen Inc. ($191).

Total Amount

$415

General + Research + Ownership

Payments

21

Total payment records

General Amount

$415

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2024-03-04

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
I20240304000087INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78639)

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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: 5193634293View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
-TX
-TX
Family PracticeTX
Family PracticeTX
Family PracticeTX
Internal MedicineTX
R H E U M A T O L O G YTX

Reviews

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Frequently asked questions

Is NICOLE MARIE RODRIGUEZ (APRN) listed with a National Provider Identifier?
Yes — NICOLE MARIE RODRIGUEZ (APRN) has NPI 1750161725 on file in the registry.
Is there an active status for NICOLE MARIE RODRIGUEZ (APRN)?
For scheduling context, NICOLE MARIE RODRIGUEZ (APRN) is shown as active in the registry.
What clinical focus is listed for NICOLE MARIE RODRIGUEZ (APRN)?
At a glance, NICOLE MARIE RODRIGUEZ (APRN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE MARIE RODRIGUEZ (APRN)?
Directory geography for NICOLE MARIE RODRIGUEZ (APRN) centers on Kingsland, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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