Individual provider Active NPI

Christian Ann Mann, DNP ARNP

  • Family Medicine Physician
  • Iowa City, IA
National Provider Identifier
1932685013
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A129124 Issued in IA
Practice address
826 Basswood LN
Iowa City, IA 52246-5810
Phone
(319) 591-0201
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A129124 IA Primary

Addresses

Primary practice location

826 Basswood LN
Iowa City, IA 52246-5810

Mailing address

826 Basswood LN
Iowa City, IA 52246-5810
Phone (319) 591-0201

Other identifiers 1

IdentifierTypeStateIssuer
A129124OtherIAIOWA BOARD OF NURSING

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
I20190315000610 IA Practitioner - Nurse Practitioner 2365782059 Reassigns benefits to 1 organization
I20211210000292 IL Practitioner - Nurse Practitioner 2365782059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
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)

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

3900 28TH Ave Dr
Suite 200
Moline, IL 61265-5540
Phone (309) 281-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129124IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Family Medicine CurrentSince Feb 28, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Nov 8, 2021 Accepting new patients
Genesis Health System CurrentSince Feb 26, 2024 Accepting new patients
Genesis Health System CurrentSince Feb 26, 2024 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

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

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

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

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

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

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

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

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

3904 16th St
Ste A
Moline, IL 61265
Phone (309) 581-7620

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1932685013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 BASSWOOD LN",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465810",
            "telephone_number": "319-591-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 BASSWOOD LN",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465810",
            "telephone_number": "319-591-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "CHRISTIAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A129124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF NURSING",
            "identifier": "A129124",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.