NPIMap

Individual provider Active NPI

Felice Ann Rolnick, MD

  • Internal Medicine Physician
  • Fenton, MO
National Provider Identifier
1659317188
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8P87 Issued in MO
Practice address
1015 Bowles Ave
Fenton, MO 63026-2394
Phone
(636) 496-2000
Fax
(314) 317-0606
NPI assigned
Jun 22, 2006
Last updated
May 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8P87 MO Primary
Hospitalist Physician 208M00000X R8P87 MO

Addresses

Primary practice location

1015 Bowles Ave
Fenton, MO 63026-2394

Mailing address

12125 Woodcrest Executive Dr
Suite 22
Saint Louis, MO 63141-5001
Phone (314) 317-0600

Other identifiers 3

IdentifierTypeStateIssuer
1659317188MedicaidIL
1811933823MedicaidMO
P01228373OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000568 MO Practitioner - Internal MedicinePractitioner - Hospitalist 5890757272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Generation Clinical Partners LLCGroup PAC ID 1557687803, 24 clinicians

Practice addresses (Care Compare)

351 Forest Summit CT
Ballwin, MO 63021-5524
Phone (314) 686-4468

505 Couch Ave
Kirkwood, MO 63122-5577
Phone (314) 822-9911

5943 Telegraph Rd
Saint Louis, MO 63129-4715
Phone (314) 846-2000

723 S Laclede Station Rd
Saint Louis, MO 63119-4911
Phone (314) 925-0903

785 Henry Ave
Ballwin, MO 63011-2736
Phone (636) 244-6332

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Pai Participant 1 LLC CurrentSince Nov 14, 2022 Accepting new patients
Generation Clinical Partners LLC CurrentSince May 1, 2022 Accepting new patients
Generation Clinical Partners Aco, LLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Generation Clinical Partners LLC CurrentSince May 1, 2022 Accepting new patients
Generation Clinical Partners Aco, LLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Mary Queen and Mother Association Past Accepting new patients
Alliance Inpatient Medicine Inc Hospitalist Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Manor Grove, Inc. Past Accepting new patients
Bethesda Long Term Care, Inc. Past Accepting new patients

Locations

1 Meramec Bluffs Dr
Ballwin, MO 63021
Phone (636) 861-0600

2201 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 736-8800

515 Picnic St
New Florence, MO 63363
Phone (573) 415-9333

10426 Baur Blvd
Saint Louis, MO 63132

505 Couch Ave
Saint Louis, MO 63122
Phone (314) 822-9911

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

723 S Laclede Station Rd
Webster Groves, MO 63119
Phone (314) 381-1800

Interoperability endpoints

  • Direct secure messaging: felice.rolnick.1@9850.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bethesda SouthgateSaint Louis, MO, CCN 265756 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 16, 2024
Feb 16, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1659317188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 WOODCREST EXECUTIVE DR",
            "address_2": "SUITE 22",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415001",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BOWLES AVE",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262394",
            "telephone_number": "636-496-2000",
            "fax_number": "314-317-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLNICK",
        "first_name": "FELICE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8P87",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "R8P87",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659317188",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811933823",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01228373",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.