Genesis Health System
Organization Active NPI Community Based Hospice Care Agency · Bettendorf, IA
NPI 1013968262 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1013968262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 2002574 (IL)
- Legal business name
- GENESIS HEALTH SYSTEM
- Practice address
- 2546 Tech Dr
Bettendorf, IA 52722-3345 - Phone
- (563) 421-5400
- NPI assigned
- May 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- GENESIS HEALTH SYSTEM
Authorized official
- Name
- Jordan Voigt
- Title
- President
- Phone
- (563) 421-6485
Owners & managing parties with NPI records 5
-
Edmund P Coyne, M.D.
-
Edwin V Motto, MD
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 10
Facilities with the same owner 215
Practitioners 222
-
David J Aanestad, MD
-
Madison Claire Adank, FNP-BC
-
Steven J Aguilar, MD
-
Madisen Ahlstrom, PA-C
-
Gaurav Ahuja, M.D.
-
Serena Arancibia, MPH, PA-C
-
Michella Azar, M.D.
-
Sarah Bakir, MD
-
Timothy Paul Becher, CRNA
-
Jennifer Lynn Bell, M.D.
-
Gena L.R. Benoit, MD
-
Amy Bingaman, MD
-
Mitchell Binkley, MD
-
Amy Lynn Bright, FNP-C
-
Margaret Anthonie Brown, DNP, NP-C
-
Julie Ann Cabel, ARNP
Affiliated clinicians 60
-
Anoop Aggarwal, M.D.
-
Steven J Aguilar, MD
-
Anis U Ansari, M.D.
-
Michella Azar, M.D.
-
Jennifer Lynn Bell, M.D.
-
Mitchell Binkley, MD
-
Regan A Cone, D.O.
-
James A Darrow, MD
-
Manisha Fenzl, MD
-
Steven C Fowler, M.D.
-
Lynn Brian Geick, MD
-
Sheena Lea Harker, D,O.
-
Amy Marie Kibler, D.O.
-
Pomilla Kumar, M.D.
-
Thomas E Lyons, MD
-
Michael Nasr Mankarious, M.D.
-
Amanda M Motto, DO
-
Matthew L Neil, MD
Medicare Care Compare: Hospice
- Listed as
- Mercyone Genesis
- Ownership
- Non-Profit
- Certified
- Feb 13, 1992
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2020479 | Mercyone Genesis | Certificate of waiver | Feb 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Hospice certification: CCN 161520
- Legal name
- GENESIS HEALTH SYSTEM
- Doing business as
- MERCYONE GENESIS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 13, 1992
- Last certification
- Aug 26, 2020
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 22, 1994 in IA
- Enrollment address
- 2546 Tech Dr
Bettendorf, IA 52722-3345
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Lyn Ketelsen |
Corporate Director |
Jan 4, 2024 | |
| Kathleen Tomsha |
Contracted Managing Employee |
Mar 1, 2024 | |
| Jordan Voigt |
Corporate Officer |
Jan 4, 2024 | |
| Corporate Director |
Jan 4, 2024 | ||
| Charles D Waterman |
Corporate Officer |
Apr 30, 2006 | |
| Corporate Director |
Apr 30, 2006 | ||
| Robert P Ritz |
Corporate Director |
Mar 1, 2023 | |
| Stephen M Sorensen |
W-2 Managing Employee |
Mar 1, 2024 | |
| Melissa C Pepper |
Corporate Officer |
Nov 1, 2019 | |
| Corporate Director |
Nov 1, 2019 | ||
| Peter Benson |
Corporate Officer |
Sep 26, 2014 | |
| Corporate Director |
Sep 26, 2014 | ||
| Robin R Petersen |
Corporate Director |
Jul 29, 2004 | |
| Christopher M Crome |
Corporate Officer |
Nov 1, 2021 | |
| Lashonda Polite |
Corporate Director |
Nov 6, 2020 | |
| Edmund P Coyne |
Corporate Director |
Dec 4, 2008 | |
| Karen M Fitzsimmons |
Corporate Director |
Nov 6, 2020 | |
| Mercy Health Network Inc |
5% Or Greater Direct Ownership Interest | Mar 1, 2023 | 100% |
| Joseph Malas |
Corporate Officer |
Jul 1, 2020 | |
| W-2 Managing Employee | Jun 1, 2020 | ||
| Mark C. Kilmer |
Corporate Director |
Sep 30, 2003 | |
| Dale D Zude |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Sep 25, 2001 | ||
| Edwin V Motto |
Corporate Director |
Jul 23, 1996 | |
| Trinity Health Corporation |
5% Or Greater Indirect Ownership Interest | Mar 1, 2023 | 100% |
| Patricia S Groves |
Corporate Director |
Oct 9, 2015 | |
| David Larson |
Corporate Director |
Mar 6, 2014 | |
| Pamela Scott |
W-2 Managing Employee |
Jan 1, 2006 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Fieldstone of Dewitt |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (40%) | Feb 21, 2019 |
| The Summit of Bettendorf |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (40%) | Feb 21, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000044 | IA | Part B Supplier - Clinic/Group Practice | 7214841436 |
Receives reassigned benefits from 306 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bettendorf, IA; Davenport, IA; Eldridge, IA; Durant, IA; De Witt, IA |
| O20060808000114 | IA | Part a Provider - Hospice | 7214841436 | Practice locations: Rock Island, IL; Bettendorf, IA |
National Provider Directory
- Part of
- Dav Med
Locations
2535 Maplecrest Rd
Ste 8
Bettendorf, IA 52722
Phone (563) 421-4663
2546 Tech Dr
Bettendorf, IA 52722
Phone (563) 421-5400
1225 E River Dr
Davenport, IA 52803
Phone 56342155005296
1351 W Central Park Ave
#2600
Davenport, IA 52804
Phone (563) 421-5400
1705 16th Ave
#100
Fulton, IL 61252
Phone (815) 589-9163
855 Illini Dr
Silvis, IL 61282
Phone (309) 281-2140
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/Hq9lMFKIau9MlCiBN698ZPzTKNvsMrCb/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2002574 | IL | Yes |
Addresses
Primary practice location
2546 Tech Dr
Bettendorf, IA 52722-3345
Mailing address
2535 Maplecrest Rd Ste 4
Bettendorf, IA 52722-2799
Phone (563) 421-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0615849 | Medicaid | IA |
Other names
- Genesis Hospice
Other providers in Bettendorf, IA
- Ricky Lee Garrels
- Mary E Gassman
- Gastroenterology Associates PC
- Gbank Health LLC
- Lynn Brian Geick
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
All providers in Bettendorf, IA · Community Based Hospice Care Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.