Individual provider Active NPI

Nichole Susanne Minch, APRN

  • Family Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1083580088
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A187473 Issued in IA
Practice address
2140 53Rd Ave
Bettendorf, IA 52722-6279
Phone
(563) 421-5700
NPI assigned
Oct 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209032750 IL
Family Nurse Practitioner 363LF0000X A187473 IA Primary

Addresses

Primary practice location

2140 53Rd Ave
Bettendorf, IA 52722-6279

Mailing address

2140 53Rd Ave
Bettendorf, IA 52722-6279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260209002427 IA Practitioner - Nurse Practitioner 6103305347 Reassigns benefits to 2 organizations
I20260213000978 IL Practitioner - Nurse Practitioner 6103305347 Reassigns benefits to 1 organization

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
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians

Practice addresses (Care Compare)

2140 53Rd Ave
Bettendorf, IA 52722-6279
Phone (563) 421-4370

3900 28TH Ave Dr
Moline, IL 61265-5536
Phone (309) 281-2220

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A187473IAMDFamily Nurse Practitioner
209032750ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jan 11, 2026 Accepting new patients
Genesis Health System CurrentSince Jan 4, 2026 Accepting new patients
Genesis Health System CurrentSince Jan 4, 2026 Accepting new patients
Genesis Health System CurrentSince Jan 11, 2026 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

2140 53rd Ave
#C
Bettendorf, IA 52722
Phone (563) 421-4370

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

3200 W Kimberly Rd
Davenport, IA 52806
Phone (563) 421-0010

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1351 W Central Park Ave
Ste 1225
Davenport, IA 52804
Phone (563) 421-1585

3900 28th Avenue Dr
Moline, IL 61265
Phone (309) 281-6000

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1083580088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226279",
            "telephone_number": "563-421-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCH",
        "first_name": "NICHOLE",
        "middle_name": "SUSANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032750",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A187473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.