Individual provider Active NPI

Janet L Annen, RNP-BC

  • Family Nurse Practitioner
  • Moline, IL
National Provider Identifier
1386028165
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.012920 Issued in IL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804002528 IA Practitioner - Nurse Practitioner 8628383080 Reassigns benefits to 2 organizations

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
Vitae Health Medical Iowa PLLCGroup PAC ID 7719343565, 5 clinicians

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

LicenseStateTypeSpecialty
209.012920ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC CurrentSince May 10, 2022 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Vitae Health Medical Iowa PLLC CurrentSince Feb 7, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.