Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Rodriguez

Individual provider Physician Assistant · NPI 1780427005

Ashley Rodriguez is a Physician Assistant in Peoria, Illinois. Qualified in 2024, 2 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

112 NE Crescent Ave
Peoria, IL 61606-1901
Phone: (309) 672-4670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6911 Main St Apt 226, Miami Lakes, FL 33014-7005 — (786) 382-6531

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085010770 (IL)

Record details

NPI number1780427005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address112 Ne Crescent Ave, Peoria, IL 61606-1901

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Methodist Medical Center Of Illinois — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Peoria