Individual provider Active NPI

Meghan Lynne Grothus

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1750876751
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A131436 Issued in IA
Practice address
1820 W 3Rd St
Davenport, IA 52802-1812
Phone
(563) 421-0500
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 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 A131436 IA Primary

Addresses

Primary practice location

1820 W 3Rd St
Davenport, IA 52802-1812

Mailing address

7075 St Ann Dr
Bettendorf, IA 52722-2449
Phone (319) 939-1501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meghanlynne.grothus@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
I20180924000062 IA Practitioner - Nurse Practitioner 1759632276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

2140 53Rd Ave
Bettendorf, IA 52722-6279
Phone (563) 421-5700

4700 E 56TH St
Davenport, IA 52807-2904
Phone (563) 421-5700

619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487

Hospital & facility affiliations

  • Genesis Vna Home health agency, Bettendorf, IA, CCN 167012
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Sep 10, 2018 Accepting new patients
Genesis Health System CurrentSince Sep 10, 2018 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

4700 E 56th St
Davenport, IA 52807
Phone (563) 421-0480

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1820 W 3rd St
Davenport, IA 52802
Phone (563) 326-1661

619 5th St
Durant, IA 52747
Phone (563) 785-4487

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1750876751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 ST ANN DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222449",
            "telephone_number": "319-939-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021812",
            "telephone_number": "563-421-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHUS",
        "first_name": "MEGHAN",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A131436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meghanlynne.grothus@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1820 W 3rd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528021812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.