NPIMap

Individual provider Active NPI

Nathan Michael Fierce, D.O.

  • Surgery Physician
  • Moline, IL
National Provider Identifier
1639355134
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.127839 Issued in IL
Practice address
870 36TH Ave
Moline, IL 61265-7159
Phone
(309) 281-6400
Fax
(309) 281-6409
NPI assigned
Jan 14, 2008
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4206 IA
Surgery Physician 208600000X 036.127839 IL Primary

Addresses

Primary practice location

870 36TH Ave
Moline, IL 61265-7159

Mailing address

870 36TH Ave
Moline, IL 61265-7159
Phone (309) 281-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nathan.Fierce@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110630000432 IL Practitioner - General Surgery 2961534912 Reassigns benefits to 1 organization
I20110728000355 IA Practitioner - General Surgery 2961534912 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians
Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900

4700 E 56TH St
Davenport, IA 52807-2904

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

855 Illini Dr
Silvis, IL 61282-2904

915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.03 of 100Reported as individual
Quality
60.48
Promoting interoperability
97
Improvement activities
40
Cost
69.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux62
Removal of tissue17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4206IAMDSurgery Physician
036.127839ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Public Hospital CurrentSince Jul 17, 2023 Accepting new patients
Mercy Specialty Clinic CurrentSince Sep 23, 2023 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Genesis Health System CurrentSince Jun 1, 2022 Accepting new patients
Genesis Health System Surgery CurrentSince Jun 1, 2022 Accepting new patients
Jackson County Public Hospital CurrentSince Jul 17, 2023 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Surgery Current Accepting new patients
Jackson County Public Hospital Current Accepting new patients
Genesis Health System Past Accepting new patients
Mercy Medical Center-Clinton, Inc Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

621 S Illinois Ave
Ste 103
Mason City, IA 50401

870 36th Ave
Moline, IL 61265
Phone (309) 623-7100

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

855 Illini Dr
Ste 304
Silvis, IL 61282
Phone (309) 281-2120

Interoperability endpoints

  • Direct secure messaging: nathan.fierce@direct.genesishealth.com
  • Direct secure messaging: nathan.fierce@macmc.eclinicaldirectplus.com
  • Direct secure messaging: nfierce4030592@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1639355134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657159",
            "telephone_number": "309-281-6400",
            "fax_number": "309-281-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657159",
            "telephone_number": "309-281-6400",
            "fax_number": "309-281-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERCE",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "4206",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.127839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nathan.Fierce@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "870 36th Ave",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612657159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.