JESSICA RODRIGUEZ PA NPI 1770117996

NPI Information

  • NPI: 1770117996
  • Provider Name: JESSICA RODRIGUEZ, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5009 HERITAGE AVE
    COLLEYVILLE, TX
    ZIP 76034
  • Phone: (817) 590-0800

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NPI Details

Jessica Rodriguez, PA is a surgical physician assistant in Colleyville, TX with 7 years of experience. Jessica Rodriguez, PA NPI is 1770117996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5009 HERITAGE AVE
COLLEYVILLE, TX
ZIP 76034-913
Phone: (817) 590-0800

The NPI 1770117996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 2/26/2020 and was last updated on 11/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA13439TEXASNo
2363AS0400XPhysician AssistantSurgicalPA13439TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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