Individual provider Active NPI

Krupa Patel, APRN

  • Nurse Practitioner
  • Moline, IL
National Provider Identifier
1902615883
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209031030 Issued in IL
Practice address
500 John Deere Rd FL 2
Moline, IL 61265-6892
Phone
(309) 779-2840
NPI assigned
Jan 6, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209031030 IL Primary

Addresses

Primary practice location

500 John Deere Rd FL 2
Moline, IL 61265-6892

Mailing address

500 John Deere Rd FL 2
Moline, IL 61265-6892

Other practice location 1

5335 Eastern Ave Ste C
Davenport, IA 52807-2788
Phone (563) 424-6400

Other practice location 2

653 52nd Ave
Moline, IL 61265-7058
Phone (309) 581-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20250314002751 IL Practitioner - Nurse Practitioner 2264954601 Reassigns benefits to 1 organization
I20250710001693 IA Practitioner - Nurse Practitioner 2264954601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical CenterGroup PAC ID 2264337518, 97 clinicians

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Suite 2240
Bettendorf, IA 52722-1644
Phone (309) 779-3627

500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Trinity Medical Center Nurse Practitioner CurrentSince Mar 24, 2025 Accepting new patients
Vitality Physical Medicine PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2240
Bettendorf, IA 52722
Phone (563) 344-9292

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

5335 Eastern Ave
Ste 2
Davenport, IA 52807
Phone (563) 424-6400

5335 Eastern Ave
Ste C
Davenport, IA 52807
Phone (563) 213-5080

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

500 John Deere Rd
Fl 2
Moline, IL 61265
Phone (309) 779-2840

653 52nd Ave
Moline, IL 61265
Phone (309) 581-3600

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: kpatel684288@direct.unitypoint.org

Organizations & group practices 4

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 2

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1902615883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JOHN DEERE RD FL 2",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN DEERE RD FL 2",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656892",
            "telephone_number": "309-779-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5335 Eastern Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528072788",
            "country_code": "US",
            "telephone_number": "563-424-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653 52nd Ave",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612657058",
            "country_code": "US",
            "telephone_number": "309-581-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUPA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209031030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.