Individual provider Active NPI

Amanda J Rausch, ARNP

  • Family Nurse Practitioner
  • Paullina, IA
National Provider Identifier
1073912200
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A117814 Issued in IA
Practice address
5680 420TH St
Paullina, IA 51046-7502
Phone
(712) 230-0030
Fax
(712) 355-5146
NPI assigned
Aug 13, 2014
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A117814 IA Primary

Addresses

Primary practice location

5680 420TH St
Paullina, IA 51046-7502

Mailing address

5680 420TH St
Paullina, IA 51046-7502
Phone (712) 230-0030

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
I20150319000689 IA Practitioner - Nurse Practitioner 4688991284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A117814IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital CurrentSince Oct 26, 2021 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Past Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

2004 Okoboji Ave
Milford, IA 51351
Phone (712) 338-2461

101 E 10th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

Interoperability endpoints

  • Direct secure messaging: amanda.rausch@avera.sdhealthlink.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1073912200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 420TH ST",
            "city": "PAULLINA",
            "state": "IA",
            "postal_code": "510467502",
            "telephone_number": "712-230-0030",
            "fax_number": "712-355-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 420TH ST",
            "city": "PAULLINA",
            "state": "IA",
            "postal_code": "510467502",
            "telephone_number": "712-230-0030",
            "fax_number": "712-355-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A117814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paullina, IA

Sources for this page

Verify at the official NPI Registry.