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Misty Rodriguez, APN

Nurse Practitioner, Adult Health in Perry, FL. Individual provider (NPI-1).

NPI number1508335290
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1508335290
Entity type
Individual (NPI-1)
Name
Misty Rodriguez
Credential
APN
Sex
Female
Sole proprietor
No
Enumeration date
Nov 25, 2018
Certification date
Jun 9, 2025
Last updated
Jun 9, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health11013559FLYes
363L00000X Nurse Practitioner26NJ00880800NJ

Practice location

207 Marshall Dr
Perry, FL 32347-1835

Phone 908-873-9940

Mailing address

2511 Opal Ct
Tallahassee, FL 32309-7275

Phone 908-873-9940

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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