Active NPI
Marissa Amidon, DNP, FNP-BC
- Nurse Practitioner
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A181740
- Practice address
- 201 S Clinton St Ste 168
Iowa City, IA 52240-4034 - Phone
- (319) 384-0520
- Fax
- (319) 467-8105
- NPI assigned
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A181740 | IA | Primary |
Addresses
Primary practice location
201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Other practice location 1
720 Pacha Pkwy ste 1
North Liberty, IA 52317-4797
Phone (319) 384-0520
Other practice location 2
2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 384-0520
Other practice location 3
1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 384-0520
Other practice location 4
3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 384-0520
Other practice location 5
767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-0520
Other practice location 6
411 10th St SE Ste 2300
Cedar Rapids, IA 52403-2467
Phone (319) 384-0520
Other practice location 7
1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000
Other practice location 8
865 Lincoln Rd Ste 400
Bettendorf, IA 52722-4159
Phone (319) 384-0520
Other practice location 9
2705 E 53rd St
Davenport, IA 52807-3008
Phone (319) 384-0520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241129000345 | IA | Practitioner - Nurse Practitioner | 4789119694 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State University of IowaVituity-Iowa PLLC
Practice addresses (Care Compare)
1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 467-8350
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
201 S Clinton St
168 Univ of Ia Health Care Quickcare
Iowa City, IA 52240-4034
Phone (319) 384-0520
2140 53Rd Ave
Bettendorf, IA 52722-6279
Phone (563) 421-5700
2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150
2705 E 53Rd St
Univ of Ia Health Care Urgent Care Davenpor
Davenport, IA 52807-3008
Phone (563) 362-3052
3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475
720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797
Phone (319) 384-8801
767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8333
865 Lincoln Rd
Suite 400
Bettendorf, IA 52722-4159
Phone (563) 344-2240
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- University of Iowa Hospital & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Iowa PLLC | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients | |
| Vituity-Iowa PLLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
865 Lincoln Rd
Ste 400
Bettendorf, IA 52722
Phone (563) 344-2240
2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700
411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
2705 E 53rd St
Davenport, IA 52807
Phone (563) 362-3052
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333
201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789
2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150
1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350
720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Iowa City, IA
- NPI 1073254181
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, IA
- NPI 1093790578
-
- Community/Retail Pharmacy
- North Liberty, IA
- NPI 1114732559
-
- Pharmacy
- Riverside, IA
- NPI 1174845101
-
- Clinic Pharmacy
- Iowa City, IA
- NPI 1306304027
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
-
- Home Health Agency
- Coralville, IA
- NPI 1396511473
-
- Pharmacy
- Iowa City, IA
- NPI 1508858127
-
- Psychiatric Hospital Unit
- Iowa City, IA
- NPI 1548248321
-
- Dentist
- Iowa City, IA
- NPI 1609956234
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1043039738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S CLINTON ST STE 168",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522404034",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105"
}
],
"practiceLocations": [
{
"address_1": "720 Pacha Pkwy ste 1",
"address_purpose": "LOCATION",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174797",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2591 Holiday Rd",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522413039",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1632 Sycamore St",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522406044",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3640 Middlebury Rd",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522452712",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "767 Mormon Trek Blvd",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522461812",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 10th St SE Ste 2300",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524032467",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1227 E Rusholme St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528032459",
"country_code": "US",
"telephone_number": "563-421-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "865 Lincoln Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527224159",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2705 E 53rd St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528073008",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-467-8105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMIDON",
"first_name": "MARISSA",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A181740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.