Active NPI
Cassie L Davis
- Acute Care Nurse Practitioner
- Davenport, IA
National Provider Identifier
1023965910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- H189544
- Practice address
- 3385 Dexter CT
Davenport, IA 52807-3494 - Phone
- (563) 421-4370
- NPI assigned
- Mar 11, 2026
- Last updated
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | H189544 | IA | Primary |
Addresses
Primary practice location
3385 Dexter CT
Davenport, IA 52807-3494
Mailing address
69200 County Road 46
Alden, MN 56009-4277
Phone (507) 402-5305
Other practice location 1
2140 53rd Ave
Bettendorf, IA 52722-6279
Phone (563) 421-4370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 W Kimberly Rd
Mercyone Genesis Davenport Ortho Ca
Davenport, IA 52806-3059
Phone (563) 421-4370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H189544 | IA | MD | Acute Care Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1023965910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69200 COUNTY ROAD 46",
"city": "ALDEN",
"state": "MN",
"postal_code": "560094277",
"telephone_number": "507-402-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 DEXTER CT",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073494",
"telephone_number": "563-421-4370"
}
],
"practiceLocations": [
{
"address_1": "2140 53rd Ave",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527226279",
"country_code": "US",
"telephone_number": "563-421-4370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CASSIE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-11",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IA",
"license": "H189544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.