The request has been approved: "Medicare Enrollment Information Individual Name: CYNTHIA RODRIGUEZ Individual Specialty: PHYSICIAN ASSISTANT Individual National Provider Identifier (NPI): 1124282553 Individual Provider Transaction Access Number (PTAN): 1H2296 Individual PTAN Effective Date: JUNE 20th, 2020 Employer Legal Business Name (LBN): VALLEY MED URGENT CARE PLLC Employer National Provider Identifier (NPI): 1518404631 Employer Provider Transaction Access Number (PTAN): 578343 Changed Information: ENROLLMENT APPLICATION CONTACT PERSON"