Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679098701 Individual Practitioner Female Practitioner

Nathali Rodriguez , PA-C

Physician Assistant • Riverview, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nathali Rodriguez, PA-C is a certified Physician Assistant practicing in Riverview, FL. With approximately 9 years of clinical experience since completing medical education in 2017, Nathali Rodriguez delivers high-quality medical care to the local community at 6901 SIMMONS LOOP STE 207.

Nathali Rodriguez is affiliated with Academic Alliance In Dermatology Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, tangential biopsy of single skin lesion, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6901 Simmons Loop Ste 207

Riverview, FL 335789498

Telephone 8138683052
Fax 8138683046
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Riverview, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
31 Specialists

Practicing in Riverview, FL (10376 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rodriguez (9 Years) 9 Yrs
Riverview Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 17 $134.56 $75.10

Medical Specialties & State Licenses

CMS Verified: 2026-04-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9111406

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 021157

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
101600600 (FL)

Hospital & Practice Group Affiliations

Academic Alliance In Dermatology Inc

6901 Simmons Loop, Riverview, FL 335789498

Phone: 8138683052

Academic Alliance In Dermatology Inc

4700 N Habana Ave, Tampa, FL 336147118

Phone: 8133413285

Academic Alliance In Dermatology Inc

5210 Webb Rd, Tampa, FL 336154518

Phone: 8138829986

Secondary Practice Locations

4700 N Habana Ave Ste 303

Tampa, FL 336147118

Phone: 8133413285

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 23, 2026

Registered at 6901 SIMMONS LOOP STE 207, RIVERVIEW, FL 335789498 (Tel: 8138683052)

📍
Updated Business Mailing Address April 23, 2026

Registered at PO BOX 23329, NEW YORK, NY 100873329

📍
Updated Practice Location August 31, 2022

Registered at 13321 N 56TH ST, TAMPA, FL 336171161 (Tel: 8133411488)

👤
Provider Name / Credentials Updated April 22, 2022

Recorded as NATHALI RODRIGUEZ, PA-C

📍
Updated Practice Location October 29, 2021

Registered at 5210 WEBB RD, TAMPA, FL 336154518 (Tel: 8138829986)

📍
Updated Business Mailing Address October 29, 2021

Registered at 5210 WEBB RD, TAMPA, FL 336154518 (Tel: 8138829986)

📍
Updated Practice Location October 23, 2018

Registered at 5133 S LAKELAND DR, LAKELAND, FL 33813 (Tel: 8636141500)

📍
Updated Business Mailing Address October 23, 2018

Registered at 5133 S LAKELAND DR, LAKELAND, FL 338132622 (Tel: 8136141500)

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2017

Registered at 7901 BROADWAY, ELMHURST, NY 113731329 (Tel: (718) 334-2772)

📍
Updated Business Mailing Address August 09, 2017

Registered at 7901 BROADWAY, ELMHURST, NY 113731329 (Tel: 7183342772)

👤
Provider Name / Credentials Updated August 09, 2017

Recorded as NATHALI RODRIGUEZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Physician Assistant (License #021157 in NY)

🟢
Initial NPI Registration & Enumeration August 09, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679098701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2017
Last Update: April 23, 2026
Sole Proprietor: No

Mailing Address

Po Box 23329

New York, NY 100873329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.