COLLEEN A HENSEL (NPI# 1841295300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841295300 |
| Entity Type | Individual |
| Full Name | COLLEEN A HENSEL |
| Other Name | COLLEEN A HENNING |
| Credential | APN |
| Practice Address |
3900 28th Avenue Dr Suite 200 Moline IL 61265-5536 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 3092816000 |
| Practice Fax Number | 3092816009 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2015-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A054401 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209001000 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 4796890024 | 01 | |
| IOWA HEALTH SOLUTIONS | 149294 | 01 | |
| IL | 479700450 | 05 | |
| JOHN DEERE HEALTH PLAN | IL0136 | 01 | |
| HEALTH ALLIANCE | 077674 | 01 |
| Street Address |
3900 28TH AVENUE DR SUITE 200 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972999 | Dawn M Bode | Family Medicine | 3900 28th Avenue Dr, Suite 200, Moline, IL 61265-5536 | 2005-06-14 |
| 1942435292 | Erinn Rae Ayres | Internal Medicine | 3900 28th Avenue Dr, Moline, IL 61265-5536 | 2009-05-15 |
| 1053585513 | Aric Jay Eckhardt, M.d., S.c. | Plastic Surgery | 3900 28th Avenue Dr, Suite 105, Moline, IL 61265-5536 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495678 | Kara Castel | Nurse Practitioner | 4109 17th Ave, Moline, IL 61265-3507 | 2020-07-27 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1194179705 | Bobbi Park | Nurse Practitioner | 106 19th Ave Ste 103, Moline, IL 61265-3700 | 2016-04-20 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1265864680 | Carey D Hurt | Nurse Practitioner | 200 N Plum St, Moline, KS 67353-9510 | 2013-08-08 |
| 1316124159 | David T Ade | Nurse Practitioner | 550 30th Ave Ste 12, Moline, IL 61265-5975 | 2008-01-23 |
| 1760487839 | Julianna M Castro | Nurse Practitioner | 5401 44th Avenue Dr, Suite 100, Moline, IL 61265-8126 | 2005-06-16 |
| 1770133159 | Rebecca Anne Solomon | Nurse Practitioner | 4370 7th St, Moline, IL 61265-6867 | 2019-09-17 |
| 1508410283 | Joshua Peter Roorda | Nurse Practitioner | 1106 4th Ave, Moline, IL 61265-1231 | 2019-07-30 |
| 1801358908 | Jesica Gould | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265-7127 | 2019-04-05 |
| Find all providers in MOLINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.