Roderick Wayne Bollinger, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017032883 Issued in MO

Practice address

115 W Broadway Blvd
Sedalia, MO 65301-5708

Phone

(660) 951-1091

NPI assigned

Sep 12, 2017

Last updated

Feb 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbollinger174861@hisp.bryanhealth.org

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.

• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment NPD
• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Medicare reassignment NPD
• Crete Area Medical Center

  • Family Medicine Physician
  • Crete, NE
  • NPI 1245281138
  Medicare reassignment NPD
• Sedalia Urgent Care LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Sedalia, MO
  • NPI 1730063546
  NPD
• Crete Area Medical Center

  dba Friend Medical Clinic

  • Rural Health Clinic/Center
  • Friend, NE
  • NPI 1699217588
  NPD
• New Century Physicians of Nebraska LLC

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1013916600
  NPD
• New Century Physicians of Nebraska LLC

  • Emergency Medicine Physician
  • Papillion, NE
  • NPI 1063411833
  NPD
• Missouri Em-I Medical Services, P.C.

  • Nurse Practitioner
  • Saint Louis, MO
  • NPI 1528008976
  NPD (past)
• Mo Cardinals Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1124454442
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1114446028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W BROADWAY BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015708",
            "telephone_number": "660-951-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BROADWAY BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015708",
            "telephone_number": "660-951-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "RODERICK",
        "middle_name": "WAYNE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017032883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Beegle, D.O.
• Chase Belnap
• Jessica Marie Berney, FNP
• Cheryl L Beykirch-Buckley, MS, LPC
• Kory L Bohling, PTA
• Borke Home Care
• Skyler Borman
• Molly Boston, LCSW
• Bothwell Regional Health Center (Bothwell Family Health)
• Bothwell Regional Health Center

• Family Nurse Practitioner in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.