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MRS. RICHELLE MARIE ROETHLER A.P.N.
NPI 1457785859
Nurse Practitioner - Family in Bettendorf, IA

Active since August 21, 2013PECOS EnrolledAccepts Medicare Assignment
4480 UTICA RIDGE RD, SUITE 110, BETTENDORF, IA 52722(563) 742-5100(563) 742-5105 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Richelle Marie Roethler A.p.n. NPPES

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

MRS. RICHELLE MARIE ROETHLER A.P.N. (NPI 1457785859) is an individual family provider in Bettendorf, Iowa, licensed in Iowa (A107678) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457785859
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RICHELLE MARIE ROETHLERCredential: A.P.N.
Location Address4480 UTICA RIDGE RD, SUITE 110Bettendorf, IA 52722-1656
Mailing Address5964 Dodds DrBettendorf, IA 52722-6541
Phone(563) 742-5100
Fax(563) 742-5105
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 21, 2013
Last NPPES UpdateApril 14, 2017
✔ NPI 1457785859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A107678
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.010650 (IL)
4480 UTICA RIDGE RD, Bettendorf, IA 52722
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Insurance Company and more.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

Mrs. Richelle Marie Roethler A.p.n. 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 ID9830418862
PECOS Enrollment IDI20150424001088, I20150508000657
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 Reassignment

Medicare enrollment records show Richelle Roethler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trinity Medical Center
0.2 mi
Family Medicine
3540 E 46TH ST
Davenport, IA 52807
  • Reassigned Medicare billing, Iowa and Illinois enrollments
  • Also billed through NPI 1033163829 (Illinois)
  • 138 clinicians in this Medicare group
NPI 1245209253 (563) 742-5900

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 7

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.
133 services79 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
109 services101 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
98 services53 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
47 services44 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
42 services28 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
40 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Hammond Henry Hospital

Critical Access Hospitals · Geneseo, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141319
Location600 N College AvenueGeneseo, IL 61254 · Henry County
Emergency services

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
5 suppliers27 claims2,320 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims1,120 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
5 suppliers17 claims505 services$6.23 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
5 suppliers31 claims1,013 services$1.91 avg. paid by Medicare
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266
DME-Medical/Surgical Supplies · category DA023N
3 suppliers15 claims590 services$1.66 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
6 suppliers42 claims4,330 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. JASON J DEUTMEYER MD
Surgery
4480 UTICA RIDGE RD, SUITE 1124
BETTENDORF, IA 52722
Scott County (563) 742-5300
DENISE M DEFALCO-MCGEEIN APN
Nurse Practitioner (Women's Health)
4480 UTICA RIDGE RD, STE 1140
BETTENDORF, IA 52722
Scott County (563) 742-5700
ORTHOPAEDIC SPECIALISTS PC
Orthopaedic Surgery
4480 UTICA RIDGE RD, SUITE 2240
BETTENDORF, IA 52722
Scott County (563) 344-9292
WILLIAM P JEROME MD
Internal Medicine
4480 UTICA RIDGE RD, SUITE 2230
BETTENDORF, IA 52722
Scott County (563) 742-5150
MICHAEL DEAN MACK D.O.
Emergency Medicine
4480 UTICA RIDGE RD
BETTENDORF, IA 52722
Scott County (563) 742-4850
EDUARDO L RICAURTE MD
Obstetrics & Gynecology
4480 UTICA RIDGE RD
BETTENDORF, IA 52722
Scott County (563) 355-9996
DR. MAURICE DEAN HUFFMAN M.D.
General Practice
4480 UTICA RIDGE RD, SUITE 110
BETTENDORF, IA 52722
Scott County (563) 742-5100
NAVEEN R KANATHUR MD
Internal Medicine (Pulmonary Disease)
4480 UTICA RIDGE RD, SUITE 108
BETTENDORF, IA 52722
Scott County (563) 742-5250

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 Richelle Roethler's NPI number?

The NPI number for Richelle Roethler is 1457785859. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Richelle Roethler located?

Richelle Roethler practices at 4480 Utica Ridge Rd Suite 110, Bettendorf, IA 52722. The listed phone number is (563) 742-5100.

What is Richelle Roethler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Richelle Roethler enrolled in Medicare?

Yes. Richelle Roethler 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 organization bills Medicare for Richelle Roethler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richelle Roethler reassigns Medicare benefits to Trinity Medical Center (Davenport, IA). The 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 Richelle Roethler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richelle Roethler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Richelle Roethler 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 Richelle Roethler affiliated with any hospitals?

According to CMS data, Richelle Roethler is affiliated with Northwestern Medicine Central Dupage Hospital, Trinity Rock Island, Hammond Henry Hospital, Genesis Medical Center-Davenport and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Richelle Roethler was last updated on April 14, 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.