Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Johnathan A Rodriquez , ARNP

Nurse Practitioner • Independence, KS

Active NPI 1811205214 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1415 N Penn Ave
Independence, KS 673012222

Call 6203312400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1415 N Penn Ave

Independence, KS 673012222

Telephone 6203312400
Fax 6203310747
Organization at the Same NPPES Address or Phone
Wilson County Hospital Facility NPI 1003251802

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Fredonia Regional Hospital; Susan B Allen Memorial Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2010

30-day fills

6,798 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$236,878 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $165.51 across 8 records.

By nature of payment

  • Food and Beverage: $165.51 across 8 records.

Reporting-company totals (3 largest of 4)

  • Eli Lilly and Company: $64.82 across 3 records.
  • AstraZeneca Pharmaceuticals LP: $55.78 across 3 records.
  • ABBVIE INC.: $25.20 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Johnathan Rodriquez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Johnathan Rodriquez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Independence and Kansas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Kansas (2024, 749 clinicians with data). Median for this group: 366. Middle half: 79 to 1,563.

Too few clinicians listed under Nurse Practitioner in Independence have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Kansas (2024, 749 clinicians with data). Median for this group: $15,618. Middle half: $936 to $141,790.

Too few clinicians listed under Nurse Practitioner in Independence have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Nurse Practitioner with a practice address in Independence, KS (1,374 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $165.51.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $29.68
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $25.20
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $24.83
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $20.90
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $19.71
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $17.41
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $14.24
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $13.54

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 204 15,140 $1,473.30 53
Amlodipine Besylate Amlodipine Besylate 172 12,922 $769.33 42
Levothyroxine Sodium Levothyroxine Sodium 169 11,380 $1,241.94 34
Gabapentin Gabapentin 148 7,904 $2,525.73 28
Lisinopril Lisinopril 127 7,303 $650.93 29
Potassium Chloride Potassium Chloride 121 6,854 $1,417.43 33
Hydrochlorothiazide Hydrochlorothiazide 94 5,365 $354.72 19
Omeprazole Omeprazole 85 5,730 $1,205.10 23
Losartan Potassium Losartan Potassium 84 6,049 $443.15 23
Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide 81 6,080 $571.72 22
Metoprolol Succinate Metoprolol Succinate 80 4,937 $814.28 20
Simvastatin Simvastatin 78 6,454 $520.48 20
Metoprolol Tartrate Metoprolol Tartrate 71 4,537 $423.49 16
Furosemide Furosemide 69 3,912 $271.38 20
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 67 1,414 $903.61 19
Metformin Hcl Metformin Hcl 63 3,351 $287.49 13
Pantoprazole Sodium Pantoprazole Sodium 62 4,882 $397.91 18
Rosuvastatin Calcium Rosuvastatin Calcium 60 3,740 $221.34 13
Pregabalin Pregabalin 52 1,560 $1,365.74 —
Allopurinol Allopurinol 51 3,639 $305.01 —
Meloxicam Meloxicam 47 3,130 $187.60 15
Quetiapine Fumarate Quetiapine Fumarate 46 1,440 $222.95 —
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 45 3,110 $293.65 15
Atenolol Atenolol 43 2,890 $222.52 11
Januvia Sitagliptin Phosphate 43 1,980 $38,007.11 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES KS 53-75249-032

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20110713000154

Enrollment State Jurisdiction

KS

PECOS Control ID

1951579218

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Susan B Allen Memorial Hospital

720 W Central Ave, El Dorado, KS 670422112

Phone: 3163213000

Fredonia Regional Hospital

1527 Madison St, Fredonia, KS 667361751

Phone: 6203782121

Fredonia Regional Hospital

1525 Madison St, Fredonia, KS 667361704

Phone: 6203782068

Fredonia Regional Hospital

1525 Madison St, Fredonia, KS 667361704

Phone: 6203782068

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Mardie Long , APRN

Nurse Practitioner - Family

NPI 1215244975

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2026

Nurse Practitioner (license number reported to NPPES: KS 53-75249-032)

📍
Updated Practice Location September 25, 2024

Registered at 1415 N PENN AVE, INDEPENDENCE, KS 673012222 (Tel: 6203312400)

📍
Updated Business Mailing Address September 25, 2024

Registered at PO BOX 360, NEODESHA, KS 667570360 (Tel: 6203252611)

âś…
NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2017

Registered at 1415 N PENN AVE, INDEPENDENCE, KS 67301 (Tel: 6203312400)

📍
Updated Business Mailing Address July 05, 2017

Registered at PO BOX 314, INDEPENDENCE, KS 67301 (Tel: 6203312400)

👤
Provider Name / Credentials Updated July 05, 2017

Recorded as JOHNATHAN RODRIQUEZ, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Nurse Practitioner (license number reported to NPPES: KS 75249)

âś…
NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 24, 2016

Registered at 1415 N PENN AVE, INDEPENDENCE, KS 67301 (Tel: 6203312400)

📍
Business Mailing Address (Initial Record) October 24, 2016

Registered at PO BOX 314, INDEPENDENCE, KS 67301 (Tel: 6203312400)

👤
Provider Name / Credentials (Initial Record) October 24, 2016

Recorded as JOHNATHAN RODRIQUEZ, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Nurse Practitioner (license number reported to NPPES: KS 75249)

🟢
Initial NPI Registration & Enumeration September 20, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811205214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2010
Last Update: May 22, 2026
Sole Proprietor: No

Mailing Address

Po Box 360

Neodesha, KS 667570360

Phone: 6203252611

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.