Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mary Jo Poremba, PA-C
Physician Assistant in Moline, IL · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1295713881
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Registry record
Entity type Individual (Type 1)
Name Mary Jo Poremba
Credential PA-C
Sex Female
Practice address 520 Valley View Dr, Moline, IL, 61265
Phone (309) 762-3621
Fax (309) 762-3690
Enumeration date Jan 4, 2006
Last updated in NPPES Jan 6, 2011
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085001152 (IL) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 001636 (IA) Secondary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97854 | Other | - | WELLMARK |
| 234526 | Other | - | MIDLANDS CHOICE |
| 193318 | Other | - | IA HEALTH SOLUTIONS |
| 970021096 | Other | - | RR MEDICARE |
| IL0168 | Other | - | JOHN DEERE FAMILY |
| 8121085 | Other | IL | BCBS |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Mary Poremba?
Mary Poremba is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-06.