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KASSIDEE CHURCH
NPI 1306790233
Nurse Practitioner - Primary Care in Davenport, IA

Active since February 26, 2026PECOS Enrolled
1228 E RUSHOLME ST, MOB 1 STE 2100, DAVENPORT, IA 52803(563) 421-8460 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kassidee Church NPPES

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

KASSIDEE CHURCH (NPI 1306790233) is an individual primary care provider in Davenport, Iowa, licensed in Iowa (H189738) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306790233
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKASSIDEE CHURCH
Location Address1228 E RUSHOLME ST, MOB 1 STE 2100Davenport, IA 52803-2453
Mailing Address1406 35th AveRock Island, IL 61201-6102
Phone(563) 421-8460
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1306790233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IA · H189738
1228 E RUSHOLME ST, Davenport, IA 52803
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassidee Church is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103397773
PECOS Enrollment IDI20260604001209
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 52803 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 16

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

DR. MICHAEL A PHELPS MD
Surgery
1228 E RUSHOLME ST, SUITE 3020
DAVENPORT, IA 52803
Scott County (563) 823-9300
JULIE ANN CABEL ARNP
Nurse Practitioner (Family)
1228 E RUSHOLME ST, MOB 1 SUITE 112
DAVENPORT, IA 52803
Scott County (563) 421-3122
ANN MAXWELL ARNP CFNP
Nurse Practitioner (Family)
1228 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-7675
SHELLEY L. SPECTOR ARNP
Clinical Nurse Specialist (Medical-Surgical)
1228 E RUSHOLME ST, SUITE 302
DAVENPORT, IA 52803
Scott County (563) 823-9300
DR. IQBAL M BINOJ M.D
Internal Medicine
1228 E RUSHOLME ST, SUITE 112
DAVENPORT, IA 52803
Scott County (563) 421-3122
ROBERT E. HARSON M.D.
Surgery
1228 E RUSHOLME ST, SUITE 3020
DAVENPORT, IA 52803
Scott County (563) 823-9300
KENNETH JOHN HARTMAN JR. MD
Surgery
1228 E RUSHOLME ST, STE 302
DAVENPORT, IA 52803
Scott County (563) 823-9300
LINDSAY JO DAVENPORT PA-C
Physician Assistant
1228 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-7540

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 Kassidee Church's NPI number?

The NPI number for Kassidee Church is 1306790233. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Kassidee Church located?

Kassidee Church practices at 1228 E Rusholme St Mob 1 Ste 2100, Davenport, IA 52803. The listed phone number is (563) 421-8460.

What is Kassidee Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kassidee Church enrolled in Medicare?

Yes. Kassidee Church is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kassidee Church was last updated on February 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.