Individual provider Active NPI

Danielle Marie Coberly

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1841802279
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A160397 Issued in IA
Practice address
3940 Marquette St
Davenport, IA 52806-4430
Phone
(563) 386-3111
Fax
(563) 386-3113
NPI assigned
Aug 18, 2020
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 A160397 IA Primary

Addresses

Primary practice location

3940 Marquette St
Davenport, IA 52806-4430

Mailing address

3940 Marquette St
Davenport, IA 52806-4430
Phone (563) 340-8069

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
I20210621001936 IA Practitioner - Nurse Practitioner 8820498371 Reassigns benefits to 3 organizations
I20250515002504 IL Practitioner - Nurse Practitioner 8820498371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, shared by 17 NPIs, 56 clinicians

Practice addresses (Care Compare)

1106 4TH Ave
Moline, IL 61265-1231
Phone (563) 336-3000

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Apr 7, 2025 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Apr 7, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Community Health Care, Inc. CurrentSince Apr 7, 2025 Accepting new patients

Locations

500 W River Dr
Davenport, IA 52801

400 E Court Ave
Ste 110
Des Moines, IA 50309

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: dcoberly791853@direct.ochin.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1841802279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 MARQUETTE ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064430",
            "telephone_number": "563-340-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 MARQUETTE ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064430",
            "telephone_number": "563-386-3111",
            "fax_number": "563-386-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBERLY",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.