Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nickolas Rongey, AGNP-C

Individual provider Nurse Practitioner · NPI 1982160990

Nickolas Rongey, AGNP-C is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2018, 8 years ago. Practices with St Louis Heart and Vascular PC, a 23-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
8
Licensed in
IL, MO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone: (314) 741-0911
Fax: (314) 741-0501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2120 Madison Ave Ste 101, Granite City, IL 62040-4746 — (618) 876-8214
  • 11155 Dunn Rd Ste 304e, Saint Louis, MO 63136-6111 — (314) 741-0911

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2018040228 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 209020503 (IL)

Record details

NPI number1982160990
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address128 Carriage House Ln, Saint Peters, MO 63376-6800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Louis Heart And Vascular Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bridgeton