DR. JACQUELINE ELIZABETH KITCHEN M.D.
NPI 1700144813
Emergency Medicine in Davenport, IA

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
1227 E RUSHOLME ST, DAVENPORT, IA 52803(563) 421-7687 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 19, 2021, Nov 11, 2016 (2 updates tracked since 2016).

About Dr. Jacqueline Elizabeth Kitchen M.d. NPPES

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

DR. JACQUELINE ELIZABETH KITCHEN M.D. (NPI 1700144813) is an individual emergency medicine provider in Davenport, Iowa, licensed in Iowa (MD-42163) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1700144813
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACQUELINE ELIZABETH KITCHENCredential: M.D.
Location Address1227 E RUSHOLME STDavenport, IA 52803-2459
Mailing Address1227 E Rusholme StDavenport, IA 52803-2459 · (563) 421-7687
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 1, 2021
✔ NPI 1700144813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IA · MD-42163
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1227 E RUSHOLME ST, Davenport, IA 52803

Accepted 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

Dr. Jacqueline Elizabeth Kitchen M.d. 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 ID4587805924
PECOS Enrollment IDI20150421000365, I20220707002568
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

5

Medicare enrollment records show Jacqueline Kitchen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1227 E RUSHOLME ST
Davenport, IA 52803
  • Reassigned Medicare billing, Iowa enrollment
  • 358 clinicians in this Medicare group
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
Critical Access
1118 11TH ST
De Witt, IA 52742
  • Reassigned Medicare billing, Iowa enrollment
  • 36 clinicians in this Medicare group
Internal Medicine
1518 MULBERRY AVE
Muscatine, IA 52761
  • Reassigned Medicare billing, Iowa enrollment
  • 113 clinicians in this Medicare group
Emergency Medical Services
601 HOSPITAL DRIVE
Maquoketa, IA 52060
  • Reassigned Medicare billing, Iowa enrollment
  • 43 clinicians in this Medicare group

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
132 services130 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services63 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

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

Trinity Muscatine

Acute Care Hospitals · Muscatine, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160013
Location1518 Mulberry AvenueMuscatine, IA 52761 · Muscatine County
Emergency services

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 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 20

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

Anesthesiology
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Nurse Practitioner (Acute Care)
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Emergency Medicine
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Registered Nurse (Medical-Surgical)
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Emergency Medicine
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Emergency Medicine
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Physician Assistant
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Anesthesiology
1227 E RUSHOLME ST
DAVENPORT, IA 52803

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 Jacqueline Kitchen's NPI number?

The NPI number for Jacqueline Kitchen is 1700144813. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Jacqueline Kitchen located?

Jacqueline Kitchen practices at 1227 E Rusholme St, Davenport, IA 52803. The listed phone number is (563) 421-7687.

What is Jacqueline Kitchen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacqueline Kitchen enrolled in Medicare?

Yes. Jacqueline Kitchen 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 Jacqueline Kitchen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Kitchen reassigns Medicare benefits to 5 organizations: Genesis Health System (Davenport, IA), Trinity Medical Center (Davenport, IA), Genesis Health System (De Witt, IA), Unity Healthcare (Muscatine, IA) and Jackson County Public Hospital (Maquoketa, IA). 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 Jacqueline Kitchen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Kitchen accept?

Health plans from Medica and Wellmark Health Plan of Iowa, Inc. list Jacqueline Kitchen 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 Jacqueline Kitchen affiliated with any hospitals?

According to CMS data, Jacqueline Kitchen is affiliated with Trinity Rock Island, Trinity Muscatine and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Jacqueline Kitchen was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.