NPIMap

Organization Active NPI

Wellspire-Bettendorf LLC

Doing business as The Summit

  • Skilled Nursing Facility
  • Bettendorf, IA
National Provider Identifier
1770198855
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WELLSPIRE-BETTENDORF LLC
Doing business as
The Summit
Practice address
4699 53Rd Ave
Bettendorf, IA 52722
Phone
(515) 271-6789
NPI assigned
Sep 15, 2020
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Craig Flanagan
Title
Cfo
Phone
(515) 271-6559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

4699 53Rd Ave
Bettendorf, IA 52722

Mailing address

5508 NW 88TH St
Johnston, IA 50131-3005
Phone (515) 271-6756

Other names 1

  • The Summit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210001211 IA Part A Provider - Skilled Nursing Facility 9032524731 Practice locations: Bettendorf, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770198855. Details of each certification follow.

Skilled nursing facility certification: CCN 165793

Legal name
WELLSPIRE-BETTENDORF LLC
Doing business as
THE SUMMIT OF BETTENDORF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 10, 2021
Last certification
Feb 3, 2025
Beds
40 (39 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
WellSpire LLC
Organization structure
LLCNon-profit
Enrollment address
4699 53Rd Ave
Bettendorf, IA 52722
Nursing home name
THE SUMMIT OF BETTENDORF
Affiliated entity
WESLEYLIFE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Summit of BettendorfCCN 165793 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 10, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3937.9 residents per day on average
Chain
Wesleylife10 facilities in the chain
Penalties (3 years)
1Fines totaling $26,358

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2216445The Summit of Bettendorf4699 53Rd Avenue, Bettendorf, IA 52722Certificate of waiverMar 11, 2027
16D2216446The Summit of Bettendorf Assisted Living4699 53Rd Avenue, Bettendorf, IA 52722Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert William Kretzinger Individual Corporate Director Feb 21, 2019
Craig Flanagan Individual Corporate Officer Feb 21, 2019
Janet a Simpson Individual Operational/Managerial Control Feb 21, 2019
Douglas Cropper Individual Corporate Director Feb 21, 2019
Joseph Malas Individual Corporate Director Nov 16, 2021
Genesis Health System Organization, Davenport, IA Non-profit 5% Or Greater Direct Ownership Interest Feb 21, 2019 40%
Nicole Lynn Hoeksema Individual Corporate Director Mar 2, 2021
Wesleylife Organization, Johnston, IA Non-profit 5% Or Greater Direct Ownership Interest Feb 21, 2019 60%
Kristy Vanderwiel Individual Corporate Director Feb 21, 2019

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1770198855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 NW 88TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313005",
            "telephone_number": "515-271-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "515-271-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPIRE-BETTENDORF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-271-6559"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Summit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.