Individual provider Active NPI

Karen Marie Rottler

  • Women's Health Nurse Practitioner
  • Manchester, MO
National Provider Identifier
1043517253
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2010039088 Issued in MO
Practice address
1 Stonegate Ctr
Manchester, MO 63088-1215
Phone
(636) 431-0030
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2010039088 MO Primary

Addresses

Primary practice location

1 Stonegate Ctr
Manchester, MO 63088-1215

Mailing address

1 Stonegate Ctr
Manchester, MO 63088-1215
Phone (636) 431-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20210825003640 IL Practitioner - Nurse Practitioner 3870742786 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010039088MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Brown Health Center Current Accepting new patients
Howard Brown Health Center CurrentSince Aug 2, 2021 Accepting new patients
George N Atia, M.D., S.C. CurrentSince Sep 15, 2023 Accepting new patients
Howard Brown Health Center CurrentSince Aug 2, 2021 Accepting new patients
Howard Brown Health Center Past Accepting new patients
Howard Brown Health Center PastSince Aug 2, 2021 Accepting new patients
Windy City Anesthesia PC PastSince Sep 15, 2023 Accepting new patients

Locations

200 Fox Gln
Barrington, IL 60010
Phone (847) 382-7165

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

1525 E 55th St
Ste 201
Chicago, IL 60615

5744 N Broadway St
Chicago, IL 60660
Phone (312) 335-0180

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

22285 N Pepper Rd
Ste 409
Lake Barrington, IL 60010
Phone (847) 382-7165

Interoperability endpoints

  • Direct secure messaging: krottler590182@direct.ochin.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJDCBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1043517253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONEGATE CTR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630881215",
            "telephone_number": "636-431-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONEGATE CTR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630881215",
            "telephone_number": "636-431-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTLER",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2010039088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MO

Sources for this page

Verify at the official NPI Registry.