Individual provider Active NPI

Frank J Rodell, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1598933830
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11013794 Issued in FL
Practice address
710 94TH Ave N Ste 305
St Petersburg, FL 33702-2452
Phone
(727) 565-0308
Fax
(727) 851-9119
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP3627 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209015485 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3881-33 WI
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP60759980 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013794 FL Primary

Addresses

Primary practice location

710 94TH Ave N Ste 305
St Petersburg, FL 33702-2452

Mailing address

710 94TH Ave N Ste 305
St Petersburg, FL 33702-2452
Phone (727) 565-0308

Other practice location 1

13451 SE 36th St
Bellevue, WA 98006-1475
Phone (425) 562-1337

Other practice location 2

3955 156th St NE
Marysville, WA 98271-4831
Phone (844) 202-5555

Other identifiers 1

IdentifierTypeStateIssuer
12032003OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091221000231 FL Practitioner - Nurse Practitioner 6305986530 Reassigns benefits to 2 organizations
I20170831000841 WA Practitioner - Nurse Practitioner 6305986530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

710 94TH Ave N
Suite 305
St Petersburg, FL 33702-2452
Phone (727) 565-0308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3881WIMDClinical Social Worker
APRN11013794FLMDPsychiatric/Mental Health Nurse Practitioner
CNP3627MNMDPsychiatric/Mental Health Nurse Practitioner
3881-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vest Seattle, LLC Multi-Specialty CurrentSince Nov 13, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 15, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington Multi-Specialty CurrentSince Dec 15, 2018 Accepting new patients
Vest Seattle, LLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington Multi-Specialty Current Accepting new patients
Frank Rodell PA Multi-Specialty CurrentSince Oct 20, 2012 Accepting new patients
Frank Rodell PA Multi-Specialty Current Accepting new patients

Locations

10801 Johnson Blvd
Seminole, FL 33772
Phone (727) 398-0166

710 94th Ave N
Ste 305
St Petersburg, FL 33702
Phone (727) 565-0308

7101 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 527-7231

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

13451 SE 36th St
Bellevue, WA 98006
Phone (425) 562-1316

3955 156th St NE
Marysville, WA 98271
Phone (360) 651-6400

201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1598933830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 94TH AVE N STE 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022452",
            "telephone_number": "727-565-0308",
            "fax_number": "727-851-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 94TH AVE N STE 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022452",
            "telephone_number": "727-565-0308",
            "fax_number": "727-851-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13451 SE 36th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061475",
            "country_code": "US",
            "telephone_number": "425-562-1337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3955 156th St NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714831",
            "country_code": "US",
            "telephone_number": "844-202-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODELL",
        "first_name": "FRANK",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP3627",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209015485",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "3881-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60759980",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12032003",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13451 SE 36th St",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980061475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.