Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Rodrigo Carrasco

Individual provider Physician Assistant · NPI 1184264541

Rodrigo Carrasco is a Physician Assistant in Shaw AFB, South Carolina. Graduated from University of Nebraska College of Medicine in 2019, 7 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
University of Nebraska College of Medicine
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

420 Polifka Dr
Shaw AFB, SC 29152-5100
Phone: (785) 240-5579
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1184264541
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at St Vincent Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 332 clinicians in the practice; 12 are shown here.

Other providers in Shaw AFB