LYDIA VANNATTA PA-C
NPI 1801277850
Physician Assistant in Rock Island, IL

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-5000 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2023, Aug 9, 2021 (2 updates tracked since 2021).

About Lydia Vannatta Pa-c NPPES

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

LYDIA VANNATTA PA-C (NPI 1801277850) is an individual physician assistant in Rock Island, Illinois, licensed in Iowa (078202) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801277850
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA VANNATTACredential: PA-C
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address2701 17th StRock Island, IL 61201-5351
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 16, 2015
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1801277850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IA · 078202
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2701 17TH ST, Rock Island, IL 61201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lydia Vannatta Pa-c 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 ID1557675253
PECOS Enrollment IDI20150807014169, I20150909002820
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.

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.
108 services101 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.
104 services99 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
57 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61201 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

Internal Medicine
2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201
Emergency Medicine
2701 17TH ST
ROCK ISLAND, IL 61201
Social Worker
2701 17TH ST
ROCK ISLAND, IL 61201
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Hospitalist
2701 17TH ST
ROCK ISLAND, IL 61201
Counselor (Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201

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 Lydia Vannatta's NPI number?

The NPI number for Lydia Vannatta is 1801277850. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Lydia Vannatta located?

Lydia Vannatta practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-5000.

What is Lydia Vannatta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lydia Vannatta enrolled in Medicare?

Yes. Lydia Vannatta 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.

What insurance does Lydia Vannatta accept?

Health plans from Medica list Lydia Vannatta 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 Lydia Vannatta affiliated with any hospitals?

According to CMS data, Lydia Vannatta is affiliated with Trinity Rock Island and Trinity Muscatine.

When was this NPI record last updated?

The NPPES record for Lydia Vannatta was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.