Individual provider Active NPI

Kelly Meghan Wren, M.D.

  • Emergency Medicine Physician
  • Davenport, IA
National Provider Identifier
1801855218
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34962 Issued in IA
Practice address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone
(563) 421-1000
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34962 IA Primary
Emergency Medicine Physician 207P00000X ME93335 FL
Emergency Medicine Physician 207P00000X NC

Addresses

Primary practice location

1227 E Rusholme St
Davenport, IA 52803-2459

Mailing address

1510 White Tail Dr
Bettendorf, IA 52722-7103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MP, VI, WI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100415000684 IL Practitioner - Emergency Medicine 3678576261 Reassigns benefits to 7 organizations
I20240105003658 MP Practitioner - Emergency Medicine 3678576261 Reassigns benefits to 1 organization
I20250227003723 VI Practitioner - Emergency Medicine 3678576261 Reassigns benefits to 1 organization
I20250902001724 WI Practitioner - Emergency Medicine 3678576261 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chattanooga Medical College, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Rockford Emergency Physicians, LLCGroup PAC ID 4385007640, 51 clinicians
Emergency Services Midwest SCGroup PAC ID 2769746056, 37 clinicians
Swea Fort SCGroup PAC ID 0345774972, 51 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-5644

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200200627NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belvidere Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 20, 2023 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Feb 22, 2020 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Nov 11, 2023 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Rockford Health Physicians CurrentSince Nov 15, 2016 Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine CurrentSince Feb 22, 2020 Accepting new patients
Rockford Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 20, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Nov 15, 2016 Accepting new patients
Swea Fort SC Emergency Medicine CurrentSince Aug 29, 2025 Accepting new patients
Genesis Health System CurrentSince Oct 8, 2021 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Nov 11, 2023 Accepting new patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Feb 6, 2017 Accepting new patients
Emergency Medicine Specialists, S.C. Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Brevard Emergency Services Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Pasquotank County, PLLC Emergency Medicine Past Accepting new patients

Locations

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

Interoperability endpoints

  • Direct secure messaging: kwren1075864@direct.gundersenhealth.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801855218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WHITE TAIL DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "563-421-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "KELLY",
        "middle_name": "MEGHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "34962",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME93335",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.