Individual provider Active NPI

Andrew J Rolniak, APRN,BC

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1871543363
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
522489 Issued in TX
Practice address
8511 S Sam Houston Pkwy E
101
Houston, TX 77075-4857
Phone
(713) 343-2301
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 522489 TX
Gerontology Nurse Practitioner 363LG0600X 522489 TX Primary

Addresses

Primary practice location

8511 S Sam Houston Pkwy E
101
Houston, TX 77075-4857

Mailing address

8511 S Sam Houston Pkwy E
101
Houston, TX 77075-4857
Phone (713) 343-2301

Other identifiers 1

IdentifierTypeStateIssuer
154169001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100330000184 TX Practitioner - Nurse Practitioner 2163558172 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Southwest, LLCGroup PAC ID 1254879620, 23 clinicians

Practice addresses (Care Compare)

310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
522489TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 27, 2021 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Sep 9, 2024 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Sep 1, 2016 Accepting new patients
Geriatric Associates of America-Texas, PLLC Adult Health Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

13500 Breton Ridge St
Houston, TX 77070
Phone (281) 807-4744

4545 Post Oak Place Dr
Ste 130
Houston, TX 77027
Phone 7139608008107

9250 Humble Westfield Rd
Humble, TX 77338
Phone (281) 418-9371

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1871543363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 S SAM HOUSTON PKWY E",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754857",
            "telephone_number": "713-343-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 S SAM HOUSTON PKWY E",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754857",
            "telephone_number": "713-343-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLNIAK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "522489",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "522489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154169001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.