Guadalupe Jisselle Rodriguez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Maben, Mississippi. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
49 Turner St, Maben, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 263-5900.
Guadalupe Jisselle Rodriguez is licensed to practice in Mississippi (license number 904979) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912659608.
Provider's Profile
| Full Name | Guadalupe Jisselle Rodriguez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 49 Turner St, Maben, Mississippi |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Guadalupe Jisselle Rodriguez graduated from nursing school in 2021
NPI Data:
- NPI Number: 1912659608
- Provider Enumeration Date: 01/24/2022
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587050539
- Enrollment ID: I20250709000273
Medical Identifiers
Medical identifiers for Guadalupe Jisselle Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912659608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 904979 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guadalupe Jisselle Rodriguez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Guadalupe Jisselle Rodriguez, FNP Po Box 395, Kosciusko, MS 39090-0395 Ph: () - | Guadalupe Jisselle Rodriguez, FNP 49 Turner St, Maben, MS 39750-9157 Ph: (662) 263-5900 |
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