MR. STEPHEN P DEPORTER (APN) – Family Nurse Practitioner, NPI 1639174519

MR. STEPHEN P DEPORTER (APN) is a healthcare provider. based in Davenport, Iowa. specializing in Family Nurse Practitioner. They hold the professional credentials APN. They hold a License No. A-081354 (IA). The NPI Number for MR. STEPHEN P DEPORTER (APN) is 1639174519

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEPHEN P DEPORTER (APN)
NPI
1639174519
Phone
(563) 421-7681
Address
1227 E RUSHOLME ST
Enumeration Date
16 June 2005
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5634211000
Graduation Year
1996 (30 years ago)
PAC ID
8224019096
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20040527000252

Contacts

Secure Messaging
stephen.deporter@direct.genesishealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for MR. STEPHEN P DEPORTER (APN)

  • 1227 E RUSHOLME ST

    DAVENPORT, IA 528032459

    Phone: (563) 421-7681

    Type: Mailing

  • 306, 46th Avenue, Maple Creek, East Moline, Rock Island County, Illinois, 61244, United States

    EAST MOLINE, IL 612444281

    Phone: (309) 796-2329

    Fax: (309) 796-1146

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 52803)

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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: 6103829338View full group profile

Reviews

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Frequently asked questions

How do I look up MR. STEPHEN P DEPORTER (APN) by NPI?
Use NPI 1639174519 when you need to reference MR. STEPHEN P DEPORTER (APN) in forms, claims, or directories.
Does this profile mean MR. STEPHEN P DEPORTER (APN) is currently active?
Yes — MR. STEPHEN P DEPORTER (APN) appears active in the national provider directory.
What does MR. STEPHEN P DEPORTER (APN) treat or focus on?
Patients typically see MR. STEPHEN P DEPORTER (APN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. STEPHEN P DEPORTER (APN)?
The page summarizes Davenport, Iowa for MR. STEPHEN P DEPORTER (APN); expand the address list for detail.
What if Davenport, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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