Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811205214 Individual Practitioner Male Practitioner

Johnathan A Rodriquez , ARNP

Nurse Practitioner • Independence, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Johnathan Rodriquez, ARNP is a certified Nurse Practitioner practicing in Independence, KS. With approximately 16 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 2010, Johnathan Rodriquez delivers high-quality medical care to the local community at 1415 N PENN AVE.

Johnathan Rodriquez maintains professional affiliations with Fredonia Regional Hospital, Susan B Allen Memorial Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1415 N Penn Ave

Independence, KS 673012222

Telephone 6203312400
Fax 6203310747
Associated Practice Facility / Clinic
🏢 Wilson County Hospital Facility NPI 1003251802

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Independence, KS

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs Matches City Avg
City Avg: 16.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Independence, KS (1395 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rodriquez (16 Years) 16 Yrs
Independence Specialty Average (16.0 Years) 16.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mardie Long , APRN

Nurse Practitioner - Family

NPI 1215244975

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

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

Nurse Practitioner (License #53-75249-032 in KS)

📍
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)

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 #75249 in KS)

NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2016

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

📍
Updated Business Mailing Address October 24, 2016

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

👤
Provider Name / Credentials Updated October 24, 2016

Recorded as JOHNATHAN RODRIQUEZ, ARNP

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

Nurse Practitioner (License #75249 in KS)

🟢
Initial NPI Registration & Enumeration September 20, 2010

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: 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

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.