RODERICK WAYNE BOLLINGER FNP-BC
NPI 1114446028
Nurse Practitioner - Family in Sedalia, MO
About Roderick Wayne Bollinger Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODERICK WAYNE BOLLINGER FNP-BC (NPI 1114446028) is an individual family provider in Sedalia, Missouri, licensed in Missouri (2017032883) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roderick Wayne Bollinger Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Roderick Bollinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 clinicians in this Medicare group
Crete, NE 68333
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1063463958 (Nebraska)
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEDALIA, MO 65301
SEDALIA, MO 65301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roderick Bollinger's NPI number?
The NPI number for Roderick Bollinger is 1114446028. It was assigned to this individual provider in the NPPES registry on September 12, 2017.
Where is Roderick Bollinger located?
Roderick Bollinger practices at 115 W Broadway Blvd, Sedalia, MO 65301. The listed phone number is (660) 951-1091.
What is Roderick Bollinger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Roderick Bollinger enrolled in Medicare?
Yes. Roderick Bollinger is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Roderick Bollinger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roderick Bollinger reassigns Medicare benefits to 2 organizations: Alegent Creighton Clinic (Omaha, NE) and Crete Area Medical Center (Crete, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roderick Bollinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roderick Bollinger accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Roderick Bollinger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Roderick Bollinger was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roderick Wayne Bollinger, FNP-BC · NPI 1114446028
Family physician in Sedalia, Missouri. Individual provider, active in the CMS NPPES registry since September 12, 2017.
## Identity
- **NPI:** 1114446028 (Entity type: Individual)
- **Enumerated:** September 12, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2017032883 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 115 W BROADWAY BLVD, Sedalia, MO 65301-5708
- **Phone:** (660) 951-1091
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alegent Creighton Clinic (NPI 1548287907, Omaha, NE); Crete Area Medical Center (NPI 1245281138, Crete, NE) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114446028) · Data from the CMS NPPES public registry.