Individual provider Active NPI

Bonnie Sue Rodgers, CRNP

  • Family Nurse Practitioner
  • Imperial, PA
National Provider Identifier
1023095981
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP005113B Issued in PA
Practice address
300 Penn Lincoln Dr
Imperial, PA 15126-9772
Phone
(724) 773-3002
NPI assigned
Dec 30, 2005
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TP005113B PA Primary

Addresses

Primary practice location

300 Penn Lincoln Dr
Imperial, PA 15126-9772

Mailing address

1740 Borland Rd
Pittsburgh, PA 15243-1524
Phone (412) 429-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000573 PA Practitioner - Nurse Practitioner 9133022924 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

617 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 543-8150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TP005113BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Jul 28, 2010 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 13, 2023 Accepting new patients
Valley Medical Facilities Inc CurrentSince Jul 28, 2010 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 13, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Washington Hospital Past Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

617 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-8559

695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: bonnie.s.rodgers@upmcdirect.com
  • Direct secure messaging: bonnierodgers@hvhs.allscriptsdirect.net
  • Direct secure messaging: brodgers20730@gohealthupmc.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1023095981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 BORLAND RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431524",
            "telephone_number": "412-429-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PENN LINCOLN DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269772",
            "telephone_number": "724-773-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP005113B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, PA

Sources for this page

Verify at the official NPI Registry.