Active NPI
Rebecca Wagschal, ARNP, CNM
- Midwife
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- B-129554
- Practice address
- 1510 E Rusholme St
Davenport, IA 52803-2463 - Phone
- (563) 336-3000
- Fax
- (563) 324-4160
- NPI assigned
- May 4, 2016
- Last updated
- Jul 10, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G178943 | IA | |
| Women's Health Nurse Practitioner | 363LW0102X | F166745 | IA | |
| Midwife | 176B00000X | B-129554 | IA | Primary |
Addresses
Primary practice location
1510 E Rusholme St
Davenport, IA 52803-2463
Mailing address
500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | IL | |
| PENDING | Medicaid | IA |
Other names 1
- Rebecca Kleinow-Wagschal
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1227 E Rusholme St
Davenport, IA 52803-2459
1510 E Rusholme St
Edgerton Womens Health Center
Davenport, IA 52803-2463
Phone (563) 336-3000
619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-129554 | IA | MD | Midwife |
| G178943 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
| F166745 | IA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care Inc | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients |
Locations
925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578
1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035
619 5th St
Durant, IA 52747
Phone (563) 785-4487
1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817
Interoperability endpoints
- rwagschal635663@direct.ochin.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1932193224
-
dba Genesis Convenient Care Bettendorf
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
dba Edgerton Women's Health Center - Dental
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1427418276
-
- Clinical Medical Laboratory
- Davenport, IA
- NPI 1649461310
-
dba Genesis Health Group
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
dba Community Health Care Inc - Glenview Middle School
- Federally Qualified Health Center (FQHC)
- East Moline, IL
- NPI 1669360459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1164878542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W RIVER DR",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528011014",
"telephone_number": "563-336-3000",
"fax_number": "563-324-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E RUSHOLME ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032463",
"telephone_number": "563-336-3000",
"fax_number": "563-324-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGSCHAL",
"first_name": "REBECCA",
"credential": "ARNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G178943",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IA",
"license": "F166745",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "IA",
"license": "B-129554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "KLEINOW-WAGSCHAL",
"credential": "ARNP, CNM",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 10, 2024; 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.