MS. AMANDA L. VERVAECKE (A.R.N.P.) – Nurse Practitioner, NPI 1023087665

MS. AMANDA L. VERVAECKE (A.R.N.P.) is a healthcare provider. based in Waterloo, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials A.R.N.P.. They hold a License No. A-094001 (IA). The NPI Number for MS. AMANDA L. VERVAECKE (A.R.N.P.) is 1023087665

Main info

Female
23 Years Of Experience
Name
MS. AMANDA L. VERVAECKE (A.R.N.P.)
NPI
1023087665
Phone
(319) 235-3121
Address
1825 LOGAN AVE
Enumeration Date
16 March 2006
Last Update Date
23 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3198245421
Graduation Year
2003 (23 years ago)
PAC ID
6103723341
Group Practice PAC ID
6406766435
Professional Enrollment ID
I20031216000830
Address ID
IA506382028GR201XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

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Provider Addresses for MS. AMANDA L. VERVAECKE (A.R.N.P.)

  • Allen Hospital, 1825, Logan Avenue, Waterloo, Black Hawk County, Iowa, 50703, United States

    WOUND & OSTOMY CLINIC

    WATERLOO, IA 507031916

    Phone: (319) 235-3121

    Fax: (319) 226-2113

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Organogenesis Inc. ($369).

Total Amount

$405

General + Research + Ownership

Payments

26

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2003-12-16

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
I20031216000830INurse PractitionerIATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes30693$0
11042Removal of skin and tissue, 20.0 sq cm or less29064$0
97597Removal of tissue from wound, 20.0 sq cm or less15351$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less9120$0
99212Established patient office or other outpatient visit, 10-19 minutes6452$0
View full utilization report →

Insurance plans in this area (ZIP 50703)

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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: 6406766435View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IA
Emergency MedicineMO

Reviews

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Frequently asked questions

How is MS. AMANDA L. VERVAECKE (A.R.N.P.) identified in CMS data?
CMS-hosted NPPES data lists MS. AMANDA L. VERVAECKE (A.R.N.P.) with NPI 1023087665.
Does the file indicate MS. AMANDA L. VERVAECKE (A.R.N.P.) is practicing under active NPI?
Directory data currently reports MS. AMANDA L. VERVAECKE (A.R.N.P.) as active.
What is MS. AMANDA L. VERVAECKE (A.R.N.P.)'s primary classification?
Nurse Practitioner is the headline specialty for MS. AMANDA L. VERVAECKE (A.R.N.P.) here. Clinical services aligned with this taxonomy classification.
What area does MS. AMANDA L. VERVAECKE (A.R.N.P.) serve?
MS. AMANDA L. VERVAECKE (A.R.N.P.)'s listing highlights Waterloo, Iowa; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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