Individual provider Active NPI

Kelli Senseney, NP-C

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1760969810
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A110432 Issued in IA
Practice address
3385 Dexter CT Ste 300
Davenport, IA 52807-3471
Phone
(563) 344-9292
NPI assigned
Jul 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 A110432 IA Primary

Addresses

Primary practice location

3385 Dexter CT Ste 300
Davenport, IA 52807-3471

Mailing address

3385 Dexter CT
Ste 300
Davenport, IA 52807-3471
Phone (309) 737-0852

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
I20180913001974 IA Practitioner - Nurse Practitioner 6709136633 Reassigns benefits to 2 organizations
I20200219000997 IL Practitioner - Nurse Practitioner 6709136633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

11144 Aurora Ave
Urbandale, IA 50322-7903
Phone (515) 278-6868

3540 E 46TH St
Concentra Urgent Care
Davenport, IA 52807-3403
Phone (563) 359-1170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists PC CurrentSince Aug 20, 2018 Accepting new patients

Locations

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

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1760969810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "address_2": "STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "309-737-0852"
        },
        {
            "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": "SENSENEY",
        "first_name": "KELLI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A110432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.