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

Jesus Ivan Rodriguez-Carrillo, FNP-BC

Individual provider Emergency Registered Nurse · NPI 1720828429

Jesus Ivan Rodriguez-Carrillo, FNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group and accepts Medicare assignment. Licensed in New Mexico and New York.

Years since qualifying
2
Licensed in
NM, NY
In the registry since
2024
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

525 E 68th St # 10065
New York, NY 10065-4870
Phone: (575) 644-3509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 355152 (NY)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 81732 (NM)
Registered Nurse Taxonomy 163W00000X · Licence 941836 (NY)

Record details

NPI number1720828429
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMay 30, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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