Active NPI
Janet L Annen, RNP-BC
- Family Nurse Practitioner
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.012920
- Practice address
- 4370 7TH St
Moline, IL 61265 - Phone
- (309) 517-6891
- Fax
- (309) 517-3045
- NPI assigned
- Jul 12, 2015
- Last updated
- Jun 1, 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 | 209.012920 | IL | Primary |
Addresses
Primary practice location
4370 7TH St
Moline, IL 61265
Mailing address
4370 7TH St
Moline, IL 61265
Phone (309) 517-6891
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | janet.annen@direct.genesishealth.com | Direct |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
815 E Locust St
Davenport, IA 52803-4345
Phone (563) 324-3276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.012920 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCR Manorcare Medical Services of Florida LLC | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Vitae Health Medical Iowa PLLC | Current | Accepting new patients |
Locations
2535 Maplecrest Rd
Ste 16
Bettendorf, IA 52722
Phone (563) 359-1943
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
815 E Locust St
Davenport, IA 52803
Phone (563) 324-3276
5010 Grand Ridge Dr
West Des Moines, IA 50265
Phone (515) 222-5991
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
L2540
Columbus, OH 43260
Interoperability endpoints
- janet.annen@direct.genesishealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- West Des Moines, IA
- NPI 1811603012
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Heartland Care Partners
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1386028165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-517-6891",
"fax_number": "309-517-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-517-6891",
"fax_number": "309-517-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNEN",
"first_name": "JANET",
"middle_name": "L",
"credential": "RNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-12",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.012920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "janet.annen@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1812 20th St",
"city": "Bettendorf",
"state": "IA",
"country_code": "US",
"postal_code": "527223831",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.