Nickolas Rongey, AGNP-C
Nurse Practitioner in Bridgeton, MO. Individual provider (NPI-1).
NPI number1982160990
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1982160990
- Entity type
- Individual (NPI-1)
- Name
- Nickolas Rongey
- Credential
- AGNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2019
- Certification date
- Dec 6, 2021
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2018040228 | MO | Yes |
| 363L00000X | Nurse Practitioner | 209020503 | IL |
Practice location
3550 McKelvey RdBridgeton, MO 63044-2527
Phone 314-741-0911 · Fax 314-741-0501
Mailing address
128 Carriage House LnSaint Peters, MO 63376-6800
Phone 636-484-3170
Other practice locations
11155 Dunn Rd Ste 304e
Saint Louis, MO 63136-6111
Saint Louis, MO 63136-6111
Phone 314-741-0911 · Fax 314-741-0501
2120 Madison Ave Ste 101
Granite City, IL 62040-4746
Granite City, IL 62040-4746
Phone 618-876-8214 · Fax 618-451-9111
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All 21 Nurse Practitioner providers in Bridgeton · All 1,440 providers in Bridgeton
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