Active NPI
Deanna L. Rodenberg, NP
- Nurse Practitioner
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209009887
- Practice address
- 4550 Memorial Dr
Ste. 340
Belleville, IL 62226-5372 - Phone
- (618) 257-6200
- Fax
- (618) 257-6679
- NPI assigned
- Aug 20, 2012
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012025805 | MO | |
| Registered Nurse | 163W00000X | 041404382 | IL | |
| Nurse Practitioner | 363L00000X | 209009887 | IL | Primary |
Addresses
Primary practice location
4550 Memorial Dr
Ste. 340
Belleville, IL 62226-5372
Mailing address
4550 Memorial Dr
Ste. 340
Belleville, IL 62226-5372
Phone (618) 257-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2658
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.63
- Improvement activities
- 40
- Cost
- 81.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041404382 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Illinois SNF LLP | Current | Accepting new patients | |
| Cep America - Illinois SNF, LLP | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Current | Accepting new patients | |
| Galen Inpatient Physicians PC. | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| Cep America - Illinois SNF, LLP | Current | Accepting new patients | |
| PC Associates LLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1073069415
-
- Critical Care Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1821641499
-
- Hospitalist Physician
- Fenton, MO
- NPI 1538714688
-
- Internal Medicine Physician
- Edwardsville, IL
- NPI 1043170434
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1912453358
-
- Critical Care Medicine (Internal Medicine) Physician
- Kankakee, IL
- NPI 1174320873
-
- Critical Care Medicine (Internal Medicine) Physician
- Effingham, IL
- NPI 1538661475
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Internal Medicine Physician
- O'Fallon, IL
- NPI 1235452855
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba HSHS St. Joseph's Hospital -Highland
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1013265248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR",
"address_2": "STE. 340",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-257-6200",
"fax_number": "618-257-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR",
"address_2": "STE. 340",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-257-6200",
"fax_number": "618-257-6679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODENBERG",
"first_name": "DEANNA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012025805",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041404382",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209009887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.