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GENESIS HEALTH GROUP BETTENDORF PEDIATRIC HEALTH HOME
NPI 1699102863
Pediatrics in Bettendorf, IA

Active since October 03, 2013CLIA 16D0966194 · Waiver
865 LINCOLN RD, SUITE 200, BETTENDORF, IA 52722(563) 344-8600(563) 344-2967 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Health Group Bettendorf Pediatric Health Home NPPES

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

GENESIS HEALTH GROUP BETTENDORF PEDIATRIC HEALTH HOME (NPI 1699102863) is a healthcare organization registered as a pediatrics in Bettendorf, Iowa and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Mark G. Rogers, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1699102863
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGENESIS HEALTH SYSTEM
Location Address865 LINCOLN RD, SUITE 200Bettendorf, IA 52722-4190
Mailing Address865 Lincoln Rd, Suite L10Bettendorf, IA 52722-4190 · (563) 355-9200 · Fax (563) 355-3419
Phone(563) 344-8600
Fax(563) 344-2967
Organization SubpartNo
Authorized OfficialMark G. RogersVp Of Finance · (563) 421-6513
Enumeration DateOctober 3, 2013
✔ NPI 1699102863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
865 LINCOLN RD, Bettendorf, IA 52722
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Other Names 1

Doing Business AsGenesis Health Group Bettendorf Pediatric Health Home

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0966194

Genesis Health Group Bettendorf Pediatrics · Bettendorf, IA
Active · expires Oct 7, 2027
CLIA Number16D0966194
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorJulia Hensch
Laboratory Phone(563) 344-8600
Laboratory LocationGenesis Health Group Bettendorf Pediatrics2140 53rd Avenue- Second Floor, Bettendorf, IA 52722
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

GENESIS HEALTH SYSTEM
Family Medicine
865 LINCOLN RD, SUITE 400
BETTENDORF, IA 52722
Scott County (563) 355-7548
ALICE E DREXLER ARNP
Nurse Practitioner (Pediatrics)
865 LINCOLN RD, STE 200
BETTENDORF, IA 52722
Scott County (563) 344-8600
DEE M STUMPHY MD
Pediatrics
865 LINCOLN RD, STE 200
BETTENDORF, IA 52722
Scott County (563) 344-8600
MRS. STEPHANY MARIE BRIMEYER MPH RD LD
Dietitian, Registered
865 LINCOLN RD, SUITE 500
BETTENDORF, IA 52722
Scott County (563) 421-3032
GENESIS HEALTH SYSTEM
Family Medicine
865 LINCOLN RD, SUITE L10
BETTENDORF, IA 52722
Scott County (563) 355-9191
ALYSSA M DONAHUE ARNP
Nurse Practitioner (Family)
865 LINCOLN RD
BETTENDORF, IA 52722
Scott County (563) 344-2240
LINDA M DELESSIO MD
Pediatrics
865 LINCOLN RD, STE 200
BETTENDORF, IA 52722
Scott County (563) 344-8600
CARLI SCHIEFERDECKER M.S., SLP
Speech-Language Pathologist
865 LINCOLN RD, STE L10
BETTENDORF, IA 52722
Scott County (563) 355-9200

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 Genesis Health System's NPI number?

The NPI number for Genesis Health System is 1699102863. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Genesis Health Group Bettendorf Pediatric Health Home.

Where is Genesis Health System located?

Genesis Health System is located at 865 Lincoln Rd Suite 200, Bettendorf, IA 52722. The listed phone number is (563) 344-8600.

What is Genesis Health System's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Genesis Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0966194) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Health System was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.