Individual provider Active NPI

Calene Lynette Woodhouse, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1790199701
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A073952 Issued in IA
Practice address
1520 W 53Rd St
Davenport, IA 52806-2459
Phone
(563) 421-3800
Fax
(563) 421-3819
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 A073952 IA Primary

Addresses

Primary practice location

1520 W 53Rd St
Davenport, IA 52806-2459

Mailing address

1520 W 53Rd St
Davenport, IA 52806-2459
Phone (563) 421-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address calene.woodhouse@direct.genesishealth.com Direct

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
I20141212000263 IA Practitioner - Nurse Practitioner 1254653736 Reassigns benefits to 2 organizations
I20200713002047 IL Practitioner - Nurse Practitioner 1254653736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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)

1520 W 53Rd St
Mercyone Genesis Northwest Convenie
Davenport, IA 52806-2459
Phone (563) 421-3800

202 Picard St
Alpha, IL 61413-5023
Phone (309) 629-4601

301 N 4TH Ave
Mercyone Genesis Eldridge
Eldridge, IA 52748-1113
Phone (563) 421-9880

3200 W Kimberly Rd
Davenport, IA 52806-3059
Phone (563) 421-0100

4321 53Rd Ave
Bettendorf, IA 52722-1269
Phone (563) 421-5300

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jun 29, 2020 Accepting new patients
Unity Healthcare CurrentSince Jul 1, 2021 Accepting new patients
Genesis Health System CurrentSince Jun 29, 2020 Accepting new patients
Unity Healthcare Current Accepting new patients
Unity Healthcare CurrentSince Jul 1, 2021 Accepting new patients
Genesis Health System CurrentSince Jun 29, 2020 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1520 W 53rd St
Davenport, IA 52806
Phone (563) 421-3800

3200 W Kimberly Rd
Davenport, IA 52806
Phone (563) 421-0010

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

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

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

301 N 4th Ave
Eldridge, IA 52748
Phone (563) 285-7232

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

3900 28th Avenue Dr
Ste 200
Moline, IL 61265
Phone (309) 281-6000

Interoperability endpoints

  • Direct secure messaging: calene.woodhouse@direct.genesishealth.com
  • Direct secure messaging: cwoodhouse837057@direct.unitypoint.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1790199701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062459",
            "telephone_number": "563-421-3800",
            "fax_number": "563-421-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062459",
            "telephone_number": "563-421-3800",
            "fax_number": "563-421-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "CALENE",
        "middle_name": "LYNETTE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A073952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "calene.woodhouse@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1520 W 53rd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528062459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.