Active NPI
Valerie R. Wold, ARNP
- Acute Care Nurse Practitioner
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- H129522
- Practice address
- 3385 Dexter CT
Suite 301
Davenport, IA 52807-3494 - Phone
- (563) 344-9292
- Fax
- (563) 344-9573
- NPI assigned
- Sep 14, 2016
- Last updated
- Nov 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP61170327 | WA | |
| Acute Care Nurse Practitioner | 363LA2100X | H129522 | IA | Primary |
Addresses
Primary practice location
3385 Dexter CT
Suite 301
Davenport, IA 52807-3494
Mailing address
3385 Dexter CT
Ste 300
Davenport, IA 52807-3471
Phone (563) 344-9292
Other practice location 1
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Other practice location 2
780 Swift Blvd Ste 101
Richland, WA 99352-3545
Phone (509) 942-3060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vwold1759091@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Health System
Practice addresses (Care Compare)
1227 E Rusholme St
Davenport, IA 52803-2459
1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900
4700 E 56TH St
Davenport, IA 52807-2904
801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000
915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Mercyone Clinton Medical Center
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61170327 | WA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Medical Associates of Clinton, Iowa P.L.C. | Current | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555
915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
3385 Dexter Ct
Ste 300
Davenport, IA 52807
Phone (563) 344-9292
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
855 Illini Dr
Ste 304
Silvis, IL 61282
Phone (309) 281-2120
Interoperability endpoints
- vwold1759091@wm.providencedirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MercyOne Specialty Care
- Multi-Specialty Clinic/Center
- Clinton, IA
- NPI 1386832764
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Family Medicine Physician
- Clinton, IA
- NPI 1841244431
-
dba MercyOne Clinton North Health Plaza
- Family Medicine Physician
- Clinton, IA
- NPI 1275197998
Hospital & facility affiliations 3
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 MercyOne Clinton Medical Center
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1265980668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 DEXTER CT",
"address_2": "STE 300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-344-9292",
"fax_number": "563-344-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 DEXTER CT",
"address_2": "SUITE 301",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073494",
"telephone_number": "563-344-9292",
"fax_number": "563-344-9573"
}
],
"practiceLocations": [
{
"address_1": "888 Swift Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523514",
"country_code": "US",
"telephone_number": "509-946-4611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 Swift Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523545",
"country_code": "US",
"telephone_number": "509-942-3060",
"fax_number": "509-946-1850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLD",
"first_name": "VALERIE",
"middle_name": "R.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP61170327",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IA",
"license": "H129522",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vwold1759091@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "780 Swift Blvd Ste 101",
"city": "Richland",
"state": "WA",
"country_code": "US",
"postal_code": "993523545",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 11, 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.