Christine Michelle Rodesiler, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00758700 Issued in NJ

Practice address

152 Cedar Lake Rd
Blairstown, NJ 07825-9635

Phone

(314) 348-3170

NPI assigned

Jan 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cunico Enterprises, Inc.

  • Family Nurse Practitioner
  • Newton, NJ
  • NPI 1982954459
  Medicare reassignment NPD
• North Jersey Integrated Medical PC

  • Family Nurse Practitioner
  • Newton, NJ
  • NPI 1427994763
  NPD (past)
• William R. Collini, M.D., P.a.

  • Specialist
  • Newton, NJ
  • NPI 1144426602
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1962949396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CEDAR LAKE RD",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078259635",
            "telephone_number": "314-348-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CEDAR LAKE RD",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078259635",
            "telephone_number": "314-348-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630267723",
            "country_code": "US",
            "telephone_number": "636-326-6100",
            "fax_number": "636-326-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODESILER",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2022-06-17",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016044202",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00758700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00758700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Racioppo, PHARMD
• Katerina Westfeldt Ravielli, LCSW
• Jackie Re, LCADC
• Rem New Jersey, Inc.
• Rha Health Services NJ LLC
• Lisa Ruffle, O.D.
• Jennifer Lynn Russo, LPC, LCADC, ACS
• Eileen F. Schneider, A.T.,C.
• Robert Paul Schwartz, DMD
• Michael A Sefcik, DC

• Family Nurse Practitioner in Blairstown, NJ
• Providers in Blairstown, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.