Active NPI
Dawn M Nowell, FNP
- Family Nurse Practitioner
- Bettendorf, IA
National Provider Identifier
1295721785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A083201
- Practice address
- 5683 Evergreen PL
Bettendorf, IA 52722-5531 - Phone
- (563) 210-0873
- NPI assigned
- Sep 21, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209003892 | IL | |
| Family Nurse Practitioner | 363LF0000X | A083201 | IA | Primary |
Addresses
Primary practice location
5683 Evergreen PL
Bettendorf, IA 52722-5531
Mailing address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (563) 210-0873
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309001343 | Other | IL | CONTROLLED SUBSTANCE # |
| 421060724A7 | Other | IA | JOHN DEERE HEALTH |
| 02266 | Other | IA | IA BCBS SEEN IN DAVENPORT |
| 235624 | Other | IL | MIDLAND'S CHOICE |
| P42667 | Other | UPIN | |
| 078004 | Other | HEALTH ALLIANCE | |
| 5201205 | Other | IA | CONTROLLED SUBSTANCE# |
| 93109 | Other | IA | IA BCBS SEEN IN RI |
| 93082 | Other | IA | IA BCBS SEEN IN MOLINE |
| IA01A7 | Other | IA | JOHN DEERE EDI# |
| 421060724 | Other | IA | BILLING TAX ID# FOR CHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Dental Clinic/Center
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- NPI 1598759029
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1700866605
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1942280235
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1962496679
-
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1093795981
-
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1598759292
-
- Federally Qualified Health Center (FQHC)
- Moline, IL
- NPI 1710971486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1295721785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "563-210-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5683 EVERGREEN PL",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527225531",
"telephone_number": "563-210-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWELL",
"first_name": "DAWN",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2023-03-07",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209003892",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A083201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE #",
"identifier": "309001343",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "421060724A7",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BCBS SEEN IN DAVENPORT",
"identifier": "02266",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "235624",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "P42667",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "078004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE#",
"identifier": "5201205",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BCBS SEEN IN RI",
"identifier": "93109",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BCBS SEEN IN MOLINE",
"identifier": "93082",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE EDI#",
"identifier": "IA01A7",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING TAX ID# FOR CHC",
"identifier": "421060724",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.