Individual provider Active NPI

Amy J Raedeker, ARNP

  • Gerontology Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1083232482
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
H159697 Issued in IA
Practice address
411 Laurel St Ste A300
Des Moines, IA 50314-3030
Phone
(515) 282-2921
Fax
(515) 283-1035
NPI assigned
Jul 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X H159697 IA Primary

Addresses

Primary practice location

411 Laurel St Ste A300
Des Moines, IA 50314-3030

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (515) 282-2921

Other practice location 1

110 E Court Ave Ste 200
Des Moines, IA 50309-2044
Phone (515) 282-2921

Other practice location 2

12495 University Ave Ste 200
Clive, IA 50325-8290
Phone (515) 282-2921

Other practice location 3

1950 SW Magazine Rd
Ankeny, IA 50023-2977
Phone (515) 282-2921

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address araedeker@MOHA.OncoEMRDirect.com

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
I20201002002961 IA Practitioner - Nurse Practitioner 1254750607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Catholic Health Initiatives-Iowa CorpGroup PAC ID 5698683142, 111 clinicians

Practice addresses (Care Compare)

1950 SW Magazine Rd
Mission Cancer and Blood U of Ia Health Care
Ankeny, IA 50023-2977
Phone (515) 237-7066

204 N 4TH Ave E
Suite 131
Newton, IA 50208-3135
Phone (641) 787-5444

Hospital & facility affiliations

  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Catholic Health Initiatives-Iowa Corp Current Accepting new patients
Catholic Health Initiatives-Iowa Corp Nurse Practitioner CurrentSince Jul 11, 2024 Accepting new patients
State University of Iowa CurrentSince Dec 31, 2024 Accepting new patients
State University of Iowa Past Accepting new patients
Iowa Heart Center PC Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

1950 SW Magazine Rd
#U
Ankeny, IA 50023
Phone (515) 237-7066

1950 SW Magazine Rd
Ankeny, IA 50023

12495 University Ave
Ste 200
Clive, IA 50325
Phone (515) 223-6605

411 Laurel St
Ste A300
Des Moines, IA 50314
Phone (515) 247-3970

1221 Pleasant St
Ste 100
Des Moines, IA 50309
Phone (515) 237-7021

110 E Court Ave
Ste 200
Des Moines, IA 50309
Phone (515) 237-7024

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

204 N 4th Ave E
Ste 131
Newton, IA 50208
Phone (641) 787-5444

2565 SE Encompass Dr
Ste 100
Waukee, IA 50263
Phone (515) 237-7088

Interoperability endpoints

  • Direct secure messaging: araedeker@moha.oncoemrdirect.com
  • Direct secure messaging: araedeker13065@direct.unitypoint.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1594512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1083232482",
    "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",
            "telephone_number": "515-282-2921",
            "fax_number": "515-283-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143030",
            "telephone_number": "515-282-2921",
            "fax_number": "515-283-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E Court Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503092044",
            "country_code": "US",
            "telephone_number": "515-282-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12495 University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258290",
            "country_code": "US",
            "telephone_number": "515-282-2921",
            "fax_number": "515-283-1035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 SW Magazine Rd",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500232977",
            "country_code": "US",
            "telephone_number": "515-282-2921",
            "fax_number": "515-283-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAEDEKER",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H159697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "araedeker@MOHA.OncoEMRDirect.com",
            "affiliation": "N",
            "address_1": "1221 Pleasant St Ste 100",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503091424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.