Individual provider Active NPI

Anne Christine Gentil-Archer, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1356774798
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
H07423 Issued in IA
Practice address
1441 W Central Park Ave
Davenport, IA 52804
Phone
(563) 383-1900
Fax
(563) 328-5690
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X J074723 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X H07423 IA Primary

Addresses

Primary practice location

1441 W Central Park Ave
Davenport, IA 52804

Mailing address

1441 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 383-1900

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
I20131218000658 IA Practitioner - Nurse Practitioner 7810124849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1039 Arthur St
Iowa City, IA 52240-6665
Phone (319) 398-7884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J074723IAMDGerontology Nurse Practitioner
H07423IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Center for Community Mental Health, Inc CurrentSince Feb 1, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Abbe Center for Community Mental Health, Inc CurrentSince Feb 1, 2021 Accepting new patients
State University of Iowa Gerontology CurrentSince Sep 8, 2013 Accepting new patients
State University of Iowa CurrentSince Sep 8, 2013 Accepting new patients
Vera French Community Mental Health CurrentSince Jun 4, 2018 Accepting new patients
Vera French Community Mental Health PastSince Dec 10, 2023 Accepting new patients

Locations

852 Middle Rd
Ste 101
Bettendorf, IA 52722
Phone (563) 383-1900

615 5th St SE
Cedar Rapids, IA 52401

520 11th St NW
Cedar Rapids, IA 52405
Phone (319) 297-3228

1441 W Central Park Ave
Davenport, IA 52804
Phone (563) 383-1900

740 N 15th Ave
Ste A
Hiawatha, IA 52233

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

1039 Arthur St
Iowa City, IA 52240
Phone (319) 338-7884

Interoperability endpoints

  • Direct secure messaging: agentilarcher980436@direct.unitypoint.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1356774798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041707",
            "telephone_number": "563-383-1900",
            "fax_number": "563-328-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52804",
            "telephone_number": "563-383-1900",
            "fax_number": "563-328-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTIL-ARCHER",
        "first_name": "ANNE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "J074723",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "H07423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.