Individual provider Active NPI

Angela Louise Rodiek, MSN

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1265073209
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25617 Issued in SC
Practice address
200 McGee Rd
Anderson, SC 29625-2104
Phone
(864) 260-2220
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25617 SC Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN.0995102-NP CO

Addresses

Primary practice location

200 McGee Rd
Anderson, SC 29625-2104

Mailing address

1 Linwa Blvd
Anderson, SC 29621-4486
Phone (303) 437-0167

Other practice location 1

2038 Avant Cir
Anderson, SC 29625-5101
Phone (303) 437-0167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20211222000650 SC Practitioner - Nurse Practitioner 3072940097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

2715 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 898-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0995102-NPCOMDFamily Nurse Practitioner
25617SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of South Carolina, P.C. Single Specialty CurrentSince May 1, 2023 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 17, 2026 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Single Specialty CurrentSince Dec 15, 2024 Accepting new patients
Taral Sharma MD PC Single Specialty CurrentSince Apr 25, 2023 Accepting new patients
South Carolina Department of Mental Health Accounting Office Single Specialty CurrentSince Feb 17, 2026 Accepting new patients

Locations

200 McGee Rd
Anderson, SC 29625
Phone (864) 260-2220

1 Linwa Blvd
Anderson, SC 29621
Phone (864) 260-2220

10 Financial Blvd
Anderson, SC 29621
Phone (855) 663-7772

120 Pelham Ln
Anderson, SC 29621
Phone (864) 627-5337

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

2715 Colonial Dr
Columbia, SC 29203
Phone (803) 898-4777

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

201 Central Park Ln
Seneca, SC 29678
Phone (844) 864-9432

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1265073209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINWA BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214486",
            "telephone_number": "303-437-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252104",
            "telephone_number": "864-260-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2038 Avant Cir",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296255101",
            "country_code": "US",
            "telephone_number": "303-437-0167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODIEK",
        "first_name": "ANGELA",
        "middle_name": "LOUISE",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25617",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995102-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.