Look up the most recent NPI and PECOS records

Melissa Rodriguez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

903 SW 24th St, San Antonio, TX 78207-5136

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Rodriguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1841012648
Provider Type
Individual
Full Name
Rodriguez, Melissa
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/31/2024
Last Updated
3/13/2025

Contact Information

Practice Location

903 SW 24th St, San Antonio, TX 78207-5136

(210) 432-7801

Unlisted Fax

Mailing Location

14943 Dancers Image, San Antonio, TX 78248-0932

(210) 323-8999

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1179133 Texas

Melissa Rodriguez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Holley, Tina Dawn

Life Choices Medical Clinic

Schindler, Linda

Brown, Tracy Devon

Trinkl, Suzanne Catherine

Sanu, Angela

Tejada, Allan Francis

Garcia, Donna L.

Villarreal, Ashley Nicole

Mcclellan, Amy Marie