Individual provider Active NPI

Nicholas Wiegand, PA-C

  • Physician Assistant
  • Bettendorf, IA
National Provider Identifier
1285482190
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
136890 Issued in IA
Practice address
5250 Competition Drive
Suite 100
Bettendorf, IA 52722-8837
Phone
(563) 322-0971
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085012117 IL
Physician Assistant 363A00000X 136890 IA Primary

Addresses

Primary practice location

5250 Competition Drive
Suite 100
Bettendorf, IA 52722-8837

Mailing address

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837
Phone (563) 322-0971

Other practice location 1

520 Valley View Dr
Moline, IL 61265-6152
Phone (309) 762-3621

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226002314 IA Practitioner - Physician Assistant 6305327404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics PC CurrentSince Feb 10, 2026 Accepting new patients
Ora Orthopedics, PC CurrentSince Feb 10, 2026 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

5250 Competition Dr
Ste 100
Bettendorf, IA 52722
Phone (563) 449-7000

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

985 Avenue of the Cities
Ste 105
Silvis, IL 61282
Phone (309) 762-3621

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1285482190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DR STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "563-322-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DRIVE",
            "address_2": "SUITE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "563-322-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656152",
            "country_code": "US",
            "telephone_number": "309-762-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085012117",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "136890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.