JACOB STAUDT
NPI 1801586250
Student in an Organized Health Care Education/Training Program in Davenport, IA
About Jacob Staudt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB STAUDT (NPI 1801586250) is an individual student in an organized health care education/training program in Davenport, Iowa and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Staudt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Genesis Hlth System Dba Genesis Mdl Ctr-Illini
Acute Care Hospitals · Silvis, ILGenesis Medical Center-Davenport
Acute Care Hospitals · Davenport, IAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAVENPORT, IA 52804
DAVENPORT, IA 52804
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 Jacob Staudt's NPI number?
The NPI number for Jacob Staudt is 1801586250. It was assigned to this individual provider in the NPPES registry on May 9, 2023.
Where is Jacob Staudt located?
Jacob Staudt practices at 1345 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 421-4400.
What is Jacob Staudt's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Staudt enrolled in Medicare?
Yes. Jacob Staudt is registered in the Medicare PECOS enrollment system.
Is Jacob Staudt affiliated with any hospitals?
According to CMS data, Jacob Staudt is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini and Genesis Medical Center-Davenport.
When was this NPI record last updated?
The NPPES record for Jacob Staudt was last updated on June 26, 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.
# Jacob Staudt · NPI 1801586250
Student in an Organized Health Care Education/Training Program provider in Davenport, Iowa. Individual provider, active in the CMS NPPES registry since May 9, 2023.
## Identity
- **NPI:** 1801586250 (Entity type: Individual)
- **Enumerated:** May 9, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1345 W CENTRAL PARK AVE, Davenport, IA 52804-1844
- **Phone:** (563) 421-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1801586250) · Data from the CMS NPPES public registry.