Individual provider Active NPI

Nichole J Rodrock, CNP

  • Family Nurse Practitioner
  • Branson, MO
National Provider Identifier
1023460623
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016022462 Issued in MO
Practice address
5571 Gretna Rd Ste B
Branson, MO 65616-7294
Phone
(417) 243-2300
NPI assigned
Jul 7, 2016
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 2016022462 MO Primary

Addresses

Primary practice location

5571 Gretna Rd Ste B
Branson, MO 65616-7294

Mailing address

5571 Gretna Rd Ste B
Branson, MO 65616-7294
Phone (417) 243-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160714000695 MO Practitioner - Nurse Practitioner 3476845298 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jul 18, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 6, 2018 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Jul 18, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

18598 Business 13
Reeds Spring, MO 65737
Phone (417) 272-1785

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3231 S National Ave
Ste 120
Springfield, MO 65807
Phone (417) 888-5638

Organizations & group practices 4

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1023460623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 GRETNA RD STE B",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167294",
            "telephone_number": "417-243-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 GRETNA RD STE B",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167294",
            "telephone_number": "417-243-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODROCK",
        "first_name": "NICHOLE",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016022462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.