Individual provider Active NPI

Sarah Beth Schlickman, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1992138747
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A111527 Issued in IA
Practice address
1228 E Rusholme St Ste 3020
Davenport, IA 52803
Phone
(563) 823-9300
Fax
(563) 823-9330
NPI assigned
Aug 15, 2013
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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 A111527 IA Primary

Addresses

Primary practice location

1228 E Rusholme St Ste 3020
Davenport, IA 52803

Mailing address

1228 E Rusholme St Ste 3020
Davenport, IA 52803-2467
Phone (563) 823-9300

Other practice location 1

5515 Utica Ridge Rd
Suite 600
Davenport, IA 52807-3928
Phone (563) 344-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.schlickmamn@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131112001997 IA Practitioner - Nurse Practitioner 6507092988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1228 E Rusholme St
Suite 3060
Davenport, IA 52803-2453
Phone (563) 421-4244

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111527IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jun 1, 2020 Accepting new patients
Genesis Health System Current Accepting new patients
Genesis Health System CurrentSince Jun 1, 2020 Accepting new patients
Genesis Health System CurrentSince Feb 23, 2021 Accepting new patients
Genesis Health System CurrentSince Feb 23, 2021 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

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

1228 E Rusholme St
Ste 3020
Davenport, IA 52803
Phone (563) 421-7540

1228 E Rusholme St
Ste 3060
Davenport, IA 52803
Phone (563) 421-4244

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

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

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

Interoperability endpoints

  • Direct secure messaging: sarah.schlickman@direct.genesishealth.com

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.

Hospital & facility affiliations 1

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1992138747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 E RUSHOLME ST STE 3020",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032467",
            "telephone_number": "563-823-9300",
            "fax_number": "563-823-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E RUSHOLME ST STE 3020",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "563-823-9300",
            "fax_number": "563-823-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 Utica Ridge Rd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073928",
            "country_code": "US",
            "telephone_number": "563-344-1050",
            "fax_number": "563-424-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLICKMAN",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A111527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.schlickmamn@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1228 E Rusholme St Ste 3020",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "52803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.