Individual provider Active NPI

Brenda F. Rodi, F.N.P.

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1891769949
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019002282 Issued in MO
Practice address
969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387
Phone
(314) 996-3434
Fax
(314) 996-3435
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN564299 CA
Family Nurse Practitioner 363LF0000X 2019002282 MO Primary

Addresses

Primary practice location

969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387

Mailing address

969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387
Phone (314) 996-3434

Other identifiers 1

IdentifierTypeStateIssuer
RN564299MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200117000051 MO Practitioner - Nurse Practitioner 3870563752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

2341 S Brentwood Blvd
Brentwood Urgent Care
Saint Louis, MO 63144-2033
Phone (314) 963-8100

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11467CAMDPediatric Occupational Therapist
RN564299CAMDNurse Practitioner
2019002282MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Apr 11, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Apr 11, 2024 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Scripps Clinic Medical Group, Inc Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1296 Jeffco Blvd
Ste B
Arnold, MO 63010
Phone (636) 321-8600

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

1475 Kisker Rd
Ste 120
Saint Charles, MO 63304
Phone (636) 498-7400

711 Veterans Memorial Pkwy
Saint Charles, MO 63303
Phone (636) 669-2200

2341 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 731-6265

1173 Corporate Lake Dr
Saint Louis, MO 63132

1601 Wentzville Pkwy
Ste 130
Wentzville, MO 63385
Phone (636) 332-8455

Interoperability endpoints

  • Direct secure messaging: brodi508812@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1891769949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 N MASON RD STE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416387",
            "telephone_number": "314-996-3434",
            "fax_number": "314-996-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N MASON RD STE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416387",
            "telephone_number": "314-996-3434",
            "fax_number": "314-996-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODI",
        "first_name": "BRENDA",
        "middle_name": "F.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN564299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019002282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN564299",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "969 N Mason Rd Ste 160",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.