AMANDA JANE MOODY CRNA
NPI 1689864928
Nurse Anesthetist, Certified Registered in Sioux City, IA

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
801 5TH ST, SIOUX CITY, IA 51101(712) 279-2400 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Jane Moody Crna NPPES

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

AMANDA JANE MOODY CRNA (NPI 1689864928) is an individual nurse anesthetist, certified registered in Sioux City, Iowa, licensed in Iowa (D-107203) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1689864928
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMANDA JANE MOODYCredential: CRNA
Location Address801 5TH STSioux City, IA 51101-1326
Mailing Address400 E 10th StWaconia, MN 55387-4552 · (952) 442-9770 · Fax (952) 442-3620
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 1, 2007
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1689864928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IA · D-107203
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
801 5TH ST, Sioux City, IA 51101

Accepted 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 Moody Crna 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 ID1153413695
PECOS Enrollment IDI20070828000901, I20200115001245
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

10

Medicare enrollment records show Amanda Moody reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
801 5TH ST
Sioux City, IA 51101
  • Reassigned Medicare billing, Iowa enrollment
  • 69 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
201 E 4TH ST
South Sioux City, NE 68776
  • Reassigned Medicare billing, Nebraska enrollment
  • 32 clinicians in this Medicare group
Emergency Medical Services
2720 STONE PARK BLVD
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 281 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4405 HAMILTON BLVD
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 3 clinicians in this Medicare group
Pain Medicine
600 N SIOUX POINT RD
Dakota Dunes, SD 57049
  • Reassigned Medicare billing, South Dakota enrollment
  • 62 clinicians in this Medicare group
Family Medicine
20 S PLUM ST
Vermillion, SD 57069
  • Reassigned Medicare billing, South Dakota enrollment
  • 43 clinicians in this Medicare group
Critical Access
1111 11TH ST
Hawarden, IA 51023
  • Reassigned Medicare billing, Iowa enrollment
  • 28 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1200 1ST AVE E
Spencer, IA 51301
  • Reassigned Medicare billing, Iowa enrollment
  • 14 clinicians in this Medicare group
Anesthesiology
1755 59TH PL
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 209 clinicians in this Medicare group
Family Medicine
401 E HIGHWAY 12 STE 2
Webster, SD 57274
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Lukes
  • 259 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51101 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
801 5TH ST
SIOUX CITY, IA 51101
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Physical Therapy Assistant
801 5TH ST
SIOUX CITY, IA 51101
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Pharmacist
801 5TH ST, MERCY MEDICAL CENTER - MAIN PHARMACY
SIOUX CITY, IA 51101
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Nurse Anesthetist, Certified Registered
801 5TH ST
SIOUX CITY, IA 51101
Internal Medicine
801 5TH ST
SIOUX CITY, IA 51101

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 Moody's NPI number?

The NPI number for Amanda Moody is 1689864928. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Amanda Moody located?

Amanda Moody practices at 801 5th St, Sioux City, IA 51101. The listed phone number is (712) 279-2400.

What is Amanda Moody's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amanda Moody enrolled in Medicare?

Yes. Amanda Moody 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 Moody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Moody reassigns Medicare benefits to 10 organizations: Mhc Anesthesia Services (Sioux City, IA), Greater Siouxland Anesthesiology & Pain Prof LLC (South Sioux City, NE), Northwest Iowa Hospital Corporation (Sioux City, IA), North Central Anesthesia LLC (Sioux City, IA), Siouxland Anesthesiology, Ltd (Dakota Dunes, SD) and 5 more organizations, listed in the Medicare section above. 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 Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Moody accept?

Health plans from Avera Health Plans, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Amanda Moody 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 Moody affiliated with any hospitals?

According to CMS data, Amanda Moody is affiliated with Mercyone Des Moines Medical Center and Spencer Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Moody was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.