Individual provider Active NPI

Emily Marie Radtke, NP

  • Family Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1093064818
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
131719 Issued in IA
Practice address
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone
(563) 742-5000
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 131719 IA Primary

Addresses

Primary practice location

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626

Mailing address

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000

Other names 1

  • Ms. Emily Marie Noble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20121207000192 IA Practitioner - Nurse Practitioner 2668624131 Reassigns benefits to 3 organizations
I20140409002150 IL Practitioner - Nurse Practitioner 2668624131 Reassigns benefits to 1 organization
I20141222002209 WI Practitioner - Nurse Practitioner 2668624131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians
Dubuque Emergency Physicians PCGroup PAC ID 9032001797, 10 clinicians

Practice addresses (Care Compare)

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (319) 589-8000

Hospital & facility affiliations

  • Southwest Health Center Hospital, Platteville, WI, CCN 521354
  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131719IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Current Accepting new patients
Trinity Medical Center CurrentSince Sep 17, 2012 Accepting new patients
Upland Hills Health, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Southwest Health Center, Inc. CurrentSince Aug 31, 2022 Accepting new patients
Southwest Health Center, Inc CurrentSince Aug 31, 2022 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Dubuque Emergency Physicians PC CurrentSince Jan 12, 2026 Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2388 State Road 80
Cuba City, WI 53807
Phone (608) 744-2767

133 Performance Dr
Darlington, WI 53530
Phone (608) 776-2443

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

1185 N Elm St
Platteville, WI 53818
Phone (608) 342-3001

1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331

Interoperability endpoints

  • Direct secure messaging: eradtke398576@direct-ehr-ssmhc.com

Organizations & group practices 8

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 2

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1093064818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221626",
            "telephone_number": "563-742-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221626",
            "telephone_number": "563-742-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADTKE",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "131719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NOBLE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.