Active NPI
Alyssa M Donahue, ARNP
- Family Nurse Practitioner
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-125439
- Practice address
- 865 Lincoln Rd
Bettendorf, IA 52722-4190 - Phone
- (563) 344-2240
- Fax
- (563) 344-2244
- NPI assigned
- Aug 14, 2015
- Last updated
- Sep 24, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A-125439 | IA | Primary |
Addresses
Primary practice location
865 Lincoln Rd
Bettendorf, IA 52722-4190
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (563) 344-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-107772 | Other | IA | IOWA LICENSE |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
865 Lincoln Rd
Suite 500
Bettendorf, IA 52722-4199
Phone (563) 344-2250
Hospital & facility affiliations
- University of Iowa Hospital & Clinics
- Genesis Medical Center-Davenport
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Trinity Rock Island
- Trinity - Bettendorf
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-125439 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Current | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients |
Locations
865 Lincoln Rd
Bettendorf, IA 52722
Phone (563) 344-2240
865 Lincoln Rd
Ste 400
Bettendorf, IA 52722
Phone (563) 344-2240
865 Lincoln Rd
Ste 500
Bettendorf, IA 52722
Phone (563) 344-2250
411 10th St SE
Ste 150
Cedar Rapids, IA 52403
Phone (319) 363-3600
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
Interoperability endpoints
- adonahue215501@uihcdirect.org
Organizations & group practices 2
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.
-
dba University of Iowa Health Care
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
dba Student Health & Wellness
- Student Health Clinic/Center
- Iowa City, IA
- NPI 1285635664
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba University of Iowa Health Care Medical Center
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1245606193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "563-344-2240",
"fax_number": "563-344-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 LINCOLN RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527224190",
"telephone_number": "563-344-2240",
"fax_number": "563-344-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHUE",
"first_name": "ALYSSA",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-125439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA LICENSE",
"identifier": "A-107772",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.