Individual provider Active NPI

Amanda Noel Lauer, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Davenport, IA
National Provider Identifier
1114704004
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
041465889 Issued in IL
Practice address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone
(563) 421-1000
NPI assigned
Sep 13, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G176791 IA
Psychiatric/Mental Health Registered Nurse 163WP0808X 149343 IA
Psychiatric/Mental Health Registered Nurse 163WP0808X 041465889 IL Primary

Addresses

Primary practice location

1227 E Rusholme St
Davenport, IA 52803-2459

Mailing address

2501 31St Avenue CT
Moline, IL 61265-6943
Phone (309) 948-4099

Other practice location 1

2701 17th St
Rock Island, IL 61201-5351
Phone (309) 779-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231216000138 IA Practitioner - Nurse Practitioner 5092164095 Reassigns benefits to 2 organizations
I20250730002240 IL Practitioner - Nurse Practitioner 5092164095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, 56 clinicians

Practice addresses (Care Compare)

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149343IAMDPsychiatric/Mental Health Registered Nurse
041465889ILMDPsychiatric/Mental Health Registered Nurse
G176791IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Dec 11, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Jul 31, 2025 Accepting new patients
Genesis Health System CurrentSince Dec 11, 2023 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Jul 31, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Jul 31, 2025 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

500 W River Dr
Davenport, IA 52801

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

Interoperability endpoints

  • Direct secure messaging: alauer831393@direct.ochin.org

Organizations & group practices 7

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1114704004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 31ST AVENUE CT",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656943",
            "telephone_number": "309-948-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "563-421-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 17th St",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612015351",
            "country_code": "US",
            "telephone_number": "309-779-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUER",
        "first_name": "AMANDA",
        "middle_name": "NOEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-10-18",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G176791",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "149343",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041465889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.