Individual provider Active NPI

Marissa Amidon, DNP, FNP-BC

  • Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1043039738
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A181740 Issued in IA
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

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IowaGroup PAC ID 7618884230, 1,886 clinicians
Vituity-Iowa PLLCGroup PAC ID 3476909409, 29 clinicians

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 Hospital, Davenport, IA, CCN 160033
  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Iowa PLLC Current Accepting new patients
State University of Iowa CurrentSince Oct 15, 2025 Accepting new patients
Vituity-Iowa PLLC CurrentSince Dec 1, 2024 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.

View all 23

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

Verify at the official NPI Registry.