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AMANDA NICHOLS D.C.
NPI 1366928624
Chiropractor in Bettendorf, IA

Active since July 19, 2018
2377 CUMBERLAND SQUARE DR, BETTENDORF, IA 52722(563) 359-9541(563) 344-3914 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda Nichols D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA NICHOLS D.C. (NPI 1366928624) is an individual chiropractor in Bettendorf, Iowa, licensed in Iowa (093003) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1366928624
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameAMANDA NICHOLSCredential: D.C.
Location Address2377 CUMBERLAND SQUARE DRBettendorf, IA 52722-3251
Mailing Address2377 Cumberland Square DrBettendorf, IA 52722-3251 · (563) 359-9541 · Fax (563) 344-3914
Phone(563) 359-9541
Fax(563) 344-3914
Sole ProprietorNo
Enumeration DateJuly 19, 2018
✔ NPI 1366928624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 093003
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2377 CUMBERLAND SQUARE DR, Bettendorf, IA 52722
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Nichols D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amanda Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riversedge Chiropractic, LLC
109 mi
Sports Physician
111 N MAIN ST, SUITE 100
Janesville, WI 53545
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
NPI 1285058966 (608) 754-8977

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY J GOULET DC
Chiropractor
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
Scott County (563) 359-9541
LINDSAY JO GALL DC
Chiropractor
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
Scott County (563) 359-9541
TRACI N NELSON JOHNSON DC
Chiropractor
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
Scott County (563) 359-9541
KYLIE CUSHMAN DC
Chiropractor
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
Scott County (563) 359-9541
NELSON CHIROPRACTIC SYSTEMS, P.C.
Chiropractor
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
Scott County (563) 359-9541
MARK CARLSON D.C.
Chiropractor
2377 CUMBERLAND SQUARE DR
BETTENDORF, IA 52722
Scott County (563) 359-9541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Nichols's NPI number?

The NPI number for Amanda Nichols is 1366928624. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Amanda Nichols located?

Amanda Nichols practices at 2377 Cumberland Square Dr, Bettendorf, IA 52722. The listed phone number is (563) 359-9541.

What is Amanda Nichols's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Amanda Nichols enrolled in Medicare?

Yes. Amanda Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Nichols reassigns Medicare benefits to Riversedge Chiropractic, LLC (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Nichols was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.