Active NPI
Kathleen Marie Nenninger, ARNP
- Nurse Practitioner
- Davenport, IA
National Provider Identifier
1942496286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 097666
- Practice address
- 3319 Spring Street
Davenport, IA 52807 - Phone
- (563) 359-1641
- Fax
- (563) 359-4634
- NPI assigned
- Sep 20, 2007
- Last updated
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A097666 | IA | |
| Urology Physician | 208800000X | 209006832 | IL | |
| Nurse Practitioner | 363L00000X | 097666 | IA | Primary |
Addresses
Primary practice location
3319 Spring Street
Davenport, IA 52807
Mailing address
3319 Spring Street
Davenport, IA 52807
Phone (563) 359-1641
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kathleen.nenninger.p1@direct.urologyqc.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3319 Spring St
Davenport, IA 52807-2125
Phone (563) 359-1641
600 Valley View Dr
Moline, IL 61265-6118
Phone (563) 359-2997
Hospital & facility affiliations
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Genesis Medical Center-Davenport
- Mercyone Clinton Medical Center
- St Mary Medical Center
- Trinity Muscatine
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.93 of 100
- Quality
- 76.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A097666 | IA | MD | Urology Physician |
| 209006832 | IL | MD | Urology Physician |
| 097666 | IA | MD | Nurse Practitioner |
Interoperability endpoints
- kathleen.nenninger.p1@direct.urologyqc.nextgenshare.com
- kathleen.nenninger.p2@direct.urologyqc.nextgenshare.com
Organizations & group practices 1
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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba MercyOne Clinton Medical Center
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1942496286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 SPRING STREET",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-359-1641",
"fax_number": "563-359-4634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 SPRING STREET",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-359-1641",
"fax_number": "563-359-4634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NENNINGER",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IA",
"license": "A097666",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "209006832",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "097666",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kathleen.nenninger.p1@direct.urologyqc.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Urological Associates PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3319 Spring Street",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "52807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.