Individual provider Active NPI

Natasha Marie Williamson

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1760196208
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A172399 Issued in IA
Practice address
3385 Dexter CT Ste 300
Davenport, IA 52807-3471
Phone
(563) 344-9292
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 A172399 IA Primary

Addresses

Primary practice location

3385 Dexter CT Ste 300
Davenport, IA 52807-3471

Mailing address

1520 Terrace Park Dr
Bettendorf, IA 52722-1842
Phone (563) 650-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20230131002959 IA Practitioner - Nurse Practitioner 2062883986 Reassigns benefits to 2 organizations
I20250801004100 IL Practitioner - Nurse Practitioner 2062883986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Disease Specialists PCGroup PAC ID 7618142183, 8 clinicians

Practice addresses (Care Compare)

3400 Dexter CT
Suite 108
Davenport, IA 52807-3434
Phone (563) 345-2438

525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 601-2800

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104

Merit-based Incentive Payment System (MIPS)

Final score
76.89 of 100Reported as group
Quality
41.39
Promoting interoperability
100
Improvement activities
40
Cost
81.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists PC CurrentSince Jan 3, 2023 Accepting new patients
Digestive Disease Specialists PC CurrentSince Sep 9, 2024 Accepting new patients

Locations

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

1908 Middle Rd
Bettendorf, IA 52722

2635 Lincoln Way
Ste D
Clinton, IA 52732
Phone (563) 243-4170

3400 Dexter Ct
Ste 108
Davenport, IA 52807
Phone (563) 345-2438

3385 Dexter Ct
Ste 300
Davenport, IA 52807
Phone (563) 344-9292

525 Valley View Dr
Moline, IL 61265
Phone (309) 601-2800

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 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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1760196208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 TERRACE PARK DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221842",
            "telephone_number": "563-650-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-344-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "NATASHA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A172399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.