Individual provider Active NPI

Sowmya Veerapaneni, APN

  • Family Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1699149211
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013449 Issued in IL
Practice address
2535 Maplecrest Rd Ste 16
Bettendorf, IA 52722-2799
Phone
(563) 421-2222
NPI assigned
Nov 19, 2015
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.013449 IL Primary
Registered Nurse 163W00000X 041.429882 IL

Addresses

Primary practice location

2535 Maplecrest Rd Ste 16
Bettendorf, IA 52722-2799

Mailing address

2535 Maplecrest Rd Ste 16
Bettendorf, IA 52722-2799
Phone (563) 421-2222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sowmya.veerapaneni@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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160406000975 IL Practitioner - Nurse Practitioner 8123326279 Reassigns benefits to 1 organization
I20201014000348 IA Practitioner - Nurse Practitioner 8123326279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.429882ILMDRegistered Nurse
209.013449ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jan 1, 2020 Accepting new patients
Genesis Health System CurrentSince Aug 24, 2020 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

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

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

1455 Hospital Rd
Silvis, IL 61282
Phone (309) 281-3270

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: sowmya.veerapaneni@direct.genesishealth.com

Organizations & group practices 2

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1699149211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 MAPLECREST RD STE 16",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222799",
            "telephone_number": "563-421-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 MAPLECREST RD STE 16",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222799",
            "telephone_number": "563-421-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAPANENI",
        "first_name": "SOWMYA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013449",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.429882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sowmya.veerapaneni@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health system direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2535 Maplecrest Rd Ste 16",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527222799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.