Nancy Lea Raccone, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-114445 Issued in IL

Practice address

4300 7TH St
Moline, IL 61265-6866

Phone

(309) 762-9800

Fax

(309) 764-3871

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nraccone92449@direct.unitypoint.org

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.

• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Woodland Women'S Services, L.L.C.

  • Obstetrics Physician
  • Hartford, CT
  • NPI 1053450361
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1992728851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656866",
            "telephone_number": "309-762-9800",
            "fax_number": "309-764-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656866",
            "telephone_number": "309-762-9800",
            "fax_number": "309-764-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACCONE",
        "first_name": "NANCY",
        "middle_name": "LEA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-114445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361144451",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "93191",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quest Diagnostics Incorporated
• Quest Diagnostics LLC
• Gary E Quinby, MD
• Quint Cities Radiation Oncology, LTD
• Zamara W Qureshi, PA
• Rameshkumar Raman, M.D.
• Jessica Ramos
• Tia Ramos
• Lauren Randleman, BSN, RN
• William E. Rankin, MD

• Obstetrics & Gynecology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.