AMANDA JANE PETERSON – Family Nurse Practitioner, NPI 1528503695

AMANDA JANE PETERSON is a healthcare provider. based in Davenport, Iowa. specializing in NURSE PRACTITIONER. They hold a License No. 132137 (IA). The NPI Number for AMANDA JANE PETERSON is 1528503695

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA JANE PETERSON
NPI
1528503695
Phone
(563) 421-1900
Address
1351 W CENTRAL PARK AVE
Enumeration Date
28 December 2016
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
9537441779
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20210930000164
Address ID
IA528072904DA4700XSTXX400

Contacts

Secure Messaging
amanda.hansen@direct.genesishealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:9State licenses:4Other namesUpdated within 12 months

7,023 NURSE PRACTITIONER in MO

Provider Addresses for AMANDA JANE PETERSON

  • 1351 W CENTRAL PARK AVE

    DAVENPORT, IA 528041853

    Phone: (563) 421-1900

    Fax: (563) 421-1809

    Type: Mailing

  • 1350 US HIGHWAY 61

    FESTUS, MO 630284124

    Phone: (636) 931-3655

    Type: Mailing

  • 801 Illini Dr

    Silvis, IL 612821804

    Phone: (309) 281-5180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $1,672.

Total Amount is formed as General ($1,672) + Research ($0) + Ownership ($0) = $1,672.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($199).

Total Amount

$1,672

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,672

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2021-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210930000164INurse PractitionerIATBD
I20211014000249INurse PractitionerILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes263127$0
99215Established patient office or other outpatient visit, 40-54 minutes10598$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7729$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 52804)

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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

Does AMANDA JANE PETERSON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMANDA JANE PETERSON uses 1528503695.
Does CMS list AMANDA JANE PETERSON as active?
Yes — AMANDA JANE PETERSON is active in the NPI listing used on this page.
What taxonomy line describes AMANDA JANE PETERSON?
For research purposes, treat AMANDA JANE PETERSON as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for AMANDA JANE PETERSON?
AMANDA JANE PETERSON's geographic hint is Davenport, Iowa in our summary view.
Is the information about AMANDA JANE PETERSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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