AMANDA JANE PETERSON
NPI 1528503695
Nurse Practitioner - Family in Davenport, IA

Q: What is Amanda Peterson's NPI number?

The NPI number for Amanda Peterson is 1528503695. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Q: What is Amanda Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Peterson was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 28, 2016PECOS EnrolledAccepts Medicare Assignment

28.55/100

CMS Quality Rating

1351 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 421-1900(563) 421-1809 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Jan 8, 2018, Dec 28, 2016 (3 updates tracked since 2016).

On this page

About Amanda Jane Peterson NPPES

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

AMANDA JANE PETERSON (NPI 1528503695) is an individual family provider in Davenport, Iowa, licensed in Iowa (A165003) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and maintains a secondary practice location in Silvis.

NPPES Registry Identity

NPI1528503695

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA JANE PETERSON

Location Address1351 W CENTRAL PARK AVEDavenport, IA 52804-1853

Mailing Address1351 W Central Park AveDavenport, IA 52804-1853 · (563) 421-1900 · Fax (563) 421-1809

Phone(563) 421-1900

Fax(563) 421-1809

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 28, 2016

Last NPPES UpdateSeptember 28, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2023

✔ NPI 1528503695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IA · A165003✔ Licensed in IL · 209023700

Also ListedRegistered NurseTaxonomy 163W00000X · License 132137 (IA), 041511033 (IL)

1351 W CENTRAL PARK AVE, Davenport, IA 52804

Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 Illini DrSilvis, IL 61282-1804 · Phone (309) 281-5180

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Jane Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537441779

PECOS Enrollment IDI20210930000164, I20211014000249

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Amanda Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Health System

1.9 mi

Surgery

1227 E RUSHOLME ST
Davenport, IA 52803

Reassigned Medicare billing, Iowa and Illinois enrollments
Also billed through NPI 1427132604 (Illinois)
358 clinicians in this Medicare group

NPI 1528616901 (563) 421-3408

Mercy Specialty Clinic

20 mi

Family Medicine

1021 11TH ST
De Witt, IA 52742

Reassigned Medicare billing, Iowa enrollment
183 clinicians in this Medicare group

NPI 1235793829 (563) 659-9294

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

251 services126 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

61 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

53 services50 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services47 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160080

Location1410 North 4th StreetClinton, IA 52732 · Clinton County

Emergency services Birthing friendly

Genesis Medical Center-Dewitt

Critical Access Hospitals · Dewitt, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161313

Location1118 11th StreetDewitt, IA 52742 · Clinton County

Emergency services

Jackson County Regional Health Center

Critical Access Hospitals · Maquoketa, IA

OwnershipGovernment - Local

CMS Certification Number161329

Location700 W Grove StMaquoketa, IA 52060 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

28.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

21.38

Improvement Activities

Cost

55.97

Other Providers at the Same Location NPPES 20

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

JULIA A HULL ARNP

Nurse Practitioner (Acute Care)

1351 W CENTRAL PARK AVE, SUITE 360
DAVENPORT, IA 52804

Scott County (563) 421-4244

LOUIS M KATZ M.D.

Internal Medicine (Infectious Disease)

1351 W CENTRAL PARK AVE
DAVENPORT, IA 52804

Scott County (563) 421-4244

CATHERINE L WEIDEMAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1351 W CENTRAL PARK AVE, STE 350
DAVENPORT, IA 52804

Scott County (563) 421-4620

JANICE D SIMMONS ARNP

Nurse Practitioner (Acute Care)

1351 W CENTRAL PARK AVE, STE 420
DAVENPORT, IA 52804

Scott County (563) 421-1422

TERESA H VERSTRAETE ARNP

Nurse Practitioner

1351 W CENTRAL PARK AVE, STE 4300
DAVENPORT, IA 52804

Scott County (563) 383-2763

DR. WASEEM AHMAD MD

Psychiatry & Neurology (Neurology)

1351 W CENTRAL PARK AVE, PAVILION 2, STE 3300
DAVENPORT, IA 52804

Scott County (563) 421-0430

HANNAH ELIZABETH BECKER NP-C

Nurse Practitioner (Family)

1351 W CENTRAL PARK AVE
DAVENPORT, IA 52804

Scott County (563) 421-1000

DONNA M NORMAN DO

Pediatrics

1351 W CENTRAL PARK AVE, STE 4100
DAVENPORT, IA 52804

Scott County (563) 383-2581

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 Peterson's NPI number?

The NPI number for Amanda Peterson is 1528503695. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Amanda Peterson located?

Amanda Peterson practices at 1351 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 421-1900.

What is Amanda Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Peterson enrolled in Medicare?

Yes. Amanda Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Peterson reassigns Medicare benefits to 2 organizations: Genesis Health System (Davenport, IA) and Mercy Specialty Clinic (De Witt, IA). Each 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 Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Amanda Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Peterson affiliated with any hospitals?

According to CMS data, Amanda Peterson is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini, Genesis Medical Center-Davenport, Mercyone Clinton Medical Center, Genesis Medical Center-Dewitt and Jackson County Regional Health Center.

When was this NPI record last updated?

The NPPES record for Amanda Peterson was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.