Kassidee Church
NPI 1306790233ActiveIndividual· Nurse Practitioner, Primary Care· Davenport, IA
Nurse Practitioner, Primary Care with Genesis Health System, practicing in Davenport, Iowa. Enrolled in Medicare as practitioner - nurse practitioner. Lists Genesis Medical Center-Davenport as a hospital affiliation.
Overview
| NPI | 1306790233 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 26, 2026 |
| Last updated in NPPES | Feb 26, 2026 |
| Certified by provider | Feb 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | H189738 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Genesis Health SystemDavenport, IA · 261 clinicians
Hospital affiliation
- Genesis Medical Center-DavenportDavenport, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Davenport
- 1508695032