OMAR ACEVIZ
NPI 1215655568
Nurse Practitioner in Davenport, IA

Q: What is Omar Aceviz's NPI number?

The NPI number for Omar Aceviz is 1215655568. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Omar Aceviz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Omar Aceviz was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment

1520 W 53RD ST, DAVENPORT, IA 52806(563) 421-3800 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2023, Aug 22, 2022 (2 updates tracked since 2022).

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About Omar Aceviz NPPES

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

OMAR ACEVIZ (NPI 1215655568) is an individual nurse practitioner in Davenport, Iowa, licensed in Iowa (A174108) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215655568

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameOMAR ACEVIZ

Location Address1520 W 53RD STDavenport, IA 52806-2459

Mailing Address507 41st AveEast Moline, IL 61244-3466 · (309) 721-6294

Phone(563) 421-3800

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 22, 2022

Last NPPES UpdateMay 3, 20232 updates tracked since enumeration

NPPES CertifiedMay 3, 2023

✔ NPI 1215655568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IA · A174108

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 143754 (IA)

1520 W 53RD ST, Davenport, IA 52806

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omar Aceviz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779943790

PECOS Enrollment IDI20230721000875, I20231218000083

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.

Medicare Billing Reassignments

Medicare enrollment records show Omar Aceviz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Health System

Same address

Clinic/Center

1520 W 53RD ST
Davenport, IA 52806

Reassigned Medicare billing, Iowa and Illinois enrollments
Also billed through NPI 1477654945 (Illinois)
300 clinicians in this Medicare group

NPI 1205860400 (563) 421-3800

Genesis Health System

11 mi

General Acute Care Hospital

801 ILLINI DR
Silvis, IL 61282

Reassigned Medicare billing, Illinois enrollment
198 clinicians in this Medicare group

NPI 1427132604 (309) 281-4000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

153 services150 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52806 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 7

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

GENESIS HEALTH SYSTEM

Clinic/Center

1520 W 53RD ST
DAVENPORT, IA 52806

Scott County (563) 421-3800

PAUL R HARTMANN MD

Family Medicine

1520 W 53RD ST, STE 1
DAVENPORT, IA 52806

Scott County (563) 421-4900

GENESIS HEALTH SYSTEM

Family Medicine

1520 W 53RD ST
DAVENPORT, IA 52806

Scott County (563) 421-4900

JONATHAN DOUGLAS MANLEY FNP-C

Nurse Practitioner (Family)

1520 W 53RD ST
DAVENPORT, IA 52806

Scott County (563) 421-3840

MRS. CATHERINE A HAGEDORN PA-C

Physician Assistant (Medical)

1520 W 53RD ST, SUITE 2
DAVENPORT, IA 52806

Scott County (563) 421-3800

CALENE LYNETTE WOODHOUSE ARNP

Nurse Practitioner (Family)

1520 W 53RD ST
DAVENPORT, IA 52806

Scott County (563) 421-3800

SARA ELIZABETH TERRONEZ DNP

Nurse Practitioner (Family)

1520 W 53RD ST
DAVENPORT, IA 52806

Scott County (563) 421-3800

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 Omar Aceviz's NPI number?

The NPI number for Omar Aceviz is 1215655568. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Omar Aceviz located?

Omar Aceviz practices at 1520 W 53rd St, Davenport, IA 52806. The listed phone number is (563) 421-3800.

What is Omar Aceviz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Omar Aceviz enrolled in Medicare?

Yes. Omar Aceviz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Omar Aceviz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Aceviz reassigns Medicare benefits to 2 organizations: Genesis Health System (Davenport, IA) and Genesis Health System (Silvis, IL). Each 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 Omar Aceviz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Aceviz accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Omar Aceviz 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.

Is Omar Aceviz affiliated with any hospitals?

According to CMS data, Omar Aceviz is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini.

When was this NPI record last updated?

The NPPES record for Omar Aceviz was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.