NICKLAS DEAN BECK (DO) – Emergency Medicine Physician, NPI 1043839160

NICKLAS DEAN BECK (DO) is a healthcare provider. based in Bettendorf, Iowa. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. DO-06629 (IA). The NPI Number for NICKLAS DEAN BECK (DO) is 1043839160

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
NICKLAS DEAN BECK (DO)
NPI
1043839160
Phone
(563) 421-5700
Address
2140 53RD AVE
Enumeration Date
9 April 2020
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
MARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5634211000
Graduation Year
2020 (6 years ago)
PAC ID
1355765330
Group Practice PAC ID
3476909409
Professional Enrollment ID
I20240903000493
Address ID
IA528032459DA1227XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

483 EMERGENCY MEDICINE in IA

Provider Addresses for NICKLAS DEAN BECK (DO)

  • 2140 53RD AVE

    BETTENDORF, IA 527226279

    Phone: (563) 421-5700

    Type: Mailing

  • 1227 E RUSHOLME ST

    DAVENPORT, IA 528032459

    Phone: (563) 421-1000

    Type: Location

  • 2140 53rd Ave

    Bettendorf, IA 527226279

    Phone: (563) 421-5700

    Type: Location

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240903000493IEmergency MedicineIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52722)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476909409View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineNJ
Emergency Medicine, Family PracticeIA
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineIL
Emergency MedicineCA
Family PracticeIA

Reviews

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Frequently asked questions

Where can patients find NICKLAS DEAN BECK (DO)'s NPI?
You can confirm NICKLAS DEAN BECK (DO) with NPI 1043839160; it appears in the national provider directory.
Does this profile mean NICKLAS DEAN BECK (DO) is currently active?
Yes — NICKLAS DEAN BECK (DO) appears active in the national provider directory.
Does NICKLAS DEAN BECK (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for NICKLAS DEAN BECK (DO). Clinical services aligned with this taxonomy classification.
What location shows for NICKLAS DEAN BECK (DO)?
We surface Bettendorf, Iowa for NICKLAS DEAN BECK (DO) based on available NPPES addresses.
Is NICKLAS DEAN BECK (DO) a real provider?
This page reflects official NPPES data for NPI 1043839160. Always confirm identity and privileges with the practice and licensing boards.

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