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TRINITY MEDICAL CENTER
NPI 1033163829
Psychiatry & Neurology - Psychiatry in Rock Island, IL

Active since May 19, 2006CLIA 14D2250457 · Waiver
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-3000 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Trinity Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY MEDICAL CENTER (NPI 1033163829) is a healthcare organization registered as a psychiatry in Rock Island, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Joseph Provateare, Director Support Services, as its authorized official.

NPPES Registry Identity

NPI1033163829
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTRINITY MEDICAL CENTER
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address4600 3rd StMoline, IL 61265-6106 · (309) 779-2032
Phone(309) 779-3000
Organization SubpartNo
Authorized OfficialJoseph ProvateareDirector Support Services · (309) 779-2022
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 11, 2017
✔ NPI 1033163829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatric UnitTaxonomy 273R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2701 17TH ST, Rock Island, IL 61201
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Other Identifiers 13

Medicaid0276170IA
Other04049Bcwellmark Enrich Gr
Other8115303Bcillinois Ryc
Medicare ID-Type Unspecified813550Medicare Doc Group
Medicare ID-Type Unspecified208833Medicare Lcsw Group
OtherCB8166IL · Rr Medicare
Medicaid0219253IA
OtherCK0834IL · Rr Medicare
OtherCB8516IL · Rr Medicare
Other99817Bcwellmark Group
OtherCB8530IL · Rr Medicare
OtherCB8524IL · Rr Medicare
Medicare ID-Type UnspecifiedI17123Ia Medicare Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trinity Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIowaEnrollment IDO20040217000414Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

182

Medicare enrollment records show 182 clinicians reassign Medicare billing to Trinity Medical Center, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 116 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Emergency Medicine47
Nurse Practitioner46
Cardiovascular Disease (Cardiology)12
Psychiatry12
Internal Medicine11
Clinical Social Worker10
Interventional Cardiology9
Pulmonary Disease7
12 other specialties28

Nearest to this location (20)

See all 182
Michael Barr, MD
Emergency Medicine
NPI 1588639926
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOSSame address
Elena Bethel, APN
Nurse Practitioner
NPI 1871921429
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Denee Brown, MSN, FNP-BC
Nurse Practitioner
NPI 1174055966
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Stephanie Burrows, MD
Emergency Medicine
NPI 1326012006
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Nathaniel Curl, M.D.
Emergency Medicine
NPI 1437328630
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Jeremy Irving, MD
Emergency Medicine
NPI 1578536215
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Emily Knoble, DO
Emergency Medicine
NPI 1982997854
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOSSame address
Kevin Kurth, MD
Emergency Medicine
NPI 1235102567
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOSSame address
Penny Liebbe, APN
Nurse Practitioner
NPI 1205436052
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Dallas Mcintyre, DNP
Nurse Practitioner
NPI 1134773955
2701 17TH ST
Rock Island, IL 61201
(309) 230-1218
✔ PECOS✔ Accepts MedicareSame address
Matthew Mckay, M.D.
Emergency Medicine
NPI 1942262308
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Anna Press
Nurse Practitioner
NPI 1831724137
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Thomas Ramstack, DO
Emergency Medicine
NPI 1710950712
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOSSame address
Laurie Schultz, NP-C
Nurse Practitioner
NPI 1497276505
2701 17TH ST
Rock Island, IL 61201
(563) 370-2947
✔ PECOS✔ Accepts MedicareSame address
Breeanna Stegall, LCSW, LMHP
Clinical Social Worker
NPI 1285372375
2701 17TH ST
Rock Island, IL 61201
(309) 779-2031
✔ PECOSSame address
Erica Theis, ARNP
Nurse Practitioner
NPI 1467909549
2701 17TH ST
Rock Island, IL 61201
(309) 779-5062
✔ PECOS✔ Accepts MedicareSame address
Lynn Uzelac, APN
Nurse Practitioner
NPI 1427578319
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOS✔ Accepts MedicareSame address
Chad Vanderlinden, MD
Emergency Medicine
NPI 1578674180
2701 17TH ST
Rock Island, IL 61201
(309) 563-2054
✔ PECOS✔ Accepts MedicareSame address
Naomi Whalen, M.D.
Emergency Medicine
NPI 1912104167
2701 17TH ST
Rock Island, IL 61201
(309) 779-5000
✔ PECOSSame address
Dara Wilczynski, D.O.
Psychiatry
NPI 1891180154
2701 17TH ST
Rock Island, IL 61201
(309) 779-2031
✔ PECOS✔ Accepts MedicareSame address
See all 182 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2250457

Trinity Medical Center - Cardiac Rehab Dept · Rock Island, IL
Active · expires Jan 26, 2028
CLIA Number14D2250457
Laboratory TypeHospital
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorFaraz Manazir
Laboratory Phone(309) 779-2880
Laboratory LocationTrinity Medical Center - Cardiac Rehab Dept2701 17th St, Rock Island, IL 61201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Medical Center's NPI number?

The NPI number for Trinity Medical Center is 1033163829. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Trinity Medical Center located?

Trinity Medical Center is located at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-3000.

What is Trinity Medical Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Trinity Medical Center enrolled in Medicare?

Yes. Trinity Medical Center is registered in the Medicare PECOS enrollment system.

When is Trinity Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Trinity Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 182 clinicians in 20 Medicare specialties reassign their Medicare billing to Trinity Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (47), Nurse Practitioner (46) and Cardiovascular Disease (Cardiology) (12). Of these, 22 practice at this address and 116 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Trinity Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2250457) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trinity Medical Center accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Trinity Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trinity Medical Center was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.