JOANNA KAY OBERBROECKLING
NPI 1144339003
Nurse Practitioner - Gerontology in Bettendorf, IA

Q: What is Joanna Oberbroeckling's NPI number?

The NPI number for Joanna Oberbroeckling is 1144339003. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Joanna Oberbroeckling's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since August 30, 2006PECOS Enrolled

2979 VICTORIA ST, BETTENDORF, IA 52722(563) 332-8528 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joanna Kay Oberbroeckling NPPES

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

JOANNA KAY OBERBROECKLING (NPI 1144339003) is an individual gerontology provider in Bettendorf, Iowa, licensed in Iowa (J048928) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144339003

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJOANNA KAY OBERBROECKLING

Location Address2979 VICTORIA STBettendorf, IA 52722-2784

Mailing Address2319 E 32nd StDavenport, IA 52807-2207

Phone(563) 332-8528

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1144339003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IA · J048928

2979 VICTORIA ST, Bettendorf, IA 52722

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Other Identifiers 1

Medicaid0474809IA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanna Kay Oberbroeckling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52722 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS EARL VICKSTROM MD

Internal Medicine

2979 VICTORIA ST, VA OPT CLINIC
BETTENDORF, IA 52722

Scott County (563) 332-8528

MS. KATHRYN DEBRA TREVOR LPN

Licensed Practical Nurse