The Village Clinic, LLC
NPI 1508695032ActiveOrganization· Nurse Practitioner, Primary Care· Davenport, IA
Nurse Practitioner, Primary Care in Davenport, Iowa, registered in NPPES in August 2024. The authorized official on file is Amanda M. Disch, NP, Owner/Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508695032 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2024 |
| Last updated in NPPES | Feb 25, 2025 |
| Certified by provider | Feb 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
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 Part B Supplier - Clinic/Group Practice (IA) |
|---|
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