THE VILLAGE CLINIC, LLC
NPI 1508695032
Nurse Practitioner - Primary Care in Davenport, IA
About The Village Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE VILLAGE CLINIC, LLC (NPI 1508695032) is a healthcare organization registered as a primary care in Davenport, Iowa and active in the NPI registry since August 2024. The organization lists Amanda M Disch, Owner/nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Village Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to The Village Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Village Clinic, LLC's NPI number?
The NPI number for The Village Clinic, LLC is 1508695032. It was assigned to this organization in the NPPES registry on August 1, 2024. The provider is also known as Amanda Disch, ARNP and The Village Clinic.
Where is The Village Clinic, LLC located?
The Village Clinic, LLC is located at 2107 E 12th St, Davenport, IA 52803. The listed phone number is (563) 362-3312.
What is The Village Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is The Village Clinic, LLC enrolled in Medicare?
Yes. The Village Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Village Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to The Village Clinic, LLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Village Clinic, LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# The Village Clinic, Llc · NPI 1508695032
Primary Care organization in Davenport, Iowa. Organization record, active in the CMS NPPES registry since August 1, 2024.
## Identity
- **NPI:** 1508695032 (Entity type: Organization)
- **Enumerated:** August 1, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Also known as:** Amanda Disch, ARNP (Other Name); The Village Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Amanda Disch, OWNER/NURSE PRACTITIONER
## Practice location
- **Address:** 2107 E 12TH ST, Davenport, IA 52803-3706
- **Phone:** (563) 362-3312 · **Fax:** (563) 204-1179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1508695032) · Data from the CMS NPPES public registry.