Blanka Divisova, M.D.
Individual provider Active NPI Family Medicine Physician · Manchester, IA
NPI 1023085644 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1023085644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35347 (IA)
- Practice address
- 709 W Main St
Manchester, IA 52057-1526 - Phone
- (563) 927-7777
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delaware County Memorial Hospital
Practice addresses (Care Compare)
709 W Main St
Manchester, IA 52057-1526
Hospital & facility affiliations
- Regional Medical Center Home Care
- Care Initiatives Hospice - Cedar Falls
- Regional Medical Center
- Good Neighbor Home
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040319001069 | IA | Practitioner - Family Practice | 7810887940 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35347 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Memorial Hospital | Current |
Accepting new patients | |
| Delaware County Memorial Hospital | Current |
Accepting new patients | |
| Delaware County Memorial Hospital | Current |
Accepting new patients | |
| Delaware County Memorial Hospital | Past | Accepting new patients | |
| Eastern Iowa Health Center | Family Medicine | Past | Accepting new patients |
| Pinnacle Medical Group Arizona, P.C. | Past | Accepting new patients | |
| Mercy Medical Center | Past | Accepting new patients |
Locations
709 W Main St
Manchester, IA 52057
Phone (563) 927-3232
613 W Main St
Manchester, IA 52057
Phone (319) 927-2629
709 W Main St
#359
Manchester, IA 52057
Phone (563) 927-7457
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35347 | IA | Yes |
Addresses
Primary practice location
709 W Main St
Manchester, IA 52057-1526
Mailing address
709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-2629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1271270 | Medicaid | IA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmc.bdivisova@rmc.cernerdirect.com | Direct |
Other providers in Manchester, IA
- Delaware County Memorial Hospital
- Delaware County Memorial Hospital
- Dental Associates of Manchester
- Angela Cae Detmering
- Stefanie Louise Dingbaum
- Dubuque Internal Medicine PC
- Dunn Chiropractic Clinic
- Garry M Dunn
- Derek Manson Dzaboff
- Janet Eimers
All providers in Manchester, IA · Family Medicine Physician 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 25, 2025. 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.
- Order and Referring (CMS).
- 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.