Individual provider · Type 1 NPI

Nickolas Rongey, AGNP-C

Nurse Practitioner · Bridgeton, MO

NPI number 1982160990 Active

Practice location

3550 Mckelvey Rd
Bridgeton, MO 63044-2527

Call (314) 741-0911 Map

Fax (314) 741-0501

Mailing address

128 Carriage House Ln
St. Peters, MO 63376-6800

Other practice locations

11155 Dunn Rd Ste 304E, St. Louis, MO 63136-6111 · (314) 741-0911
2120 Madison Ave Ste 101, Granite City, IL 62040-4746 · (618) 876-8214

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	209020503 (IL)
Nurse Practitioner Primary	363L00000X	2018040228 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

14 other providers at this address

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About NPI 1982160990

Nickolas Rongey, AGNP-C's National Provider Identifier is 1982160990, issued on Feb 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeton, MO. The record was last updated on Sep 29, 2026.