Individual provider Active NPI

Amanda Marie Knudsen, ARNP

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1104614270
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A183493 Issued in IA
Practice address
2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715
Phone
(319) 888-8044
Fax
(319) 349-8402
NPI assigned
Apr 29, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 A183493 IA Primary

Addresses

Primary practice location

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611002435 IA Practitioner - Nurse Practitioner 9335659044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1753 W Ridgeway Ave
Waterloo, IA 50701-4588

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

201 E J Ave
Grundy Center, IA 50638-2028
Phone (319) 824-5421

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A183493IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Jun 16, 2025 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jun 16, 2025 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients

Locations

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

2515 Cyclone Dr
Ste B
Waterloo, IA 50701
Phone (319) 833-5970

1253 4th St SW
Waverly, IA 50677
Phone (319) 833-5970

Interoperability endpoints

  • Direct secure messaging: amanda.knudsen@cvms.eclinicaldirectplus.com

Organizations & group practices 3

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": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1104614270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CYCLONE DR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019715",
            "telephone_number": "319-888-8044",
            "fax_number": "319-349-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A183493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.