Individual provider Active NPI

Amanda Jean Gerber, MD

  • Family Medicine Physician
  • Bonaparte, IA
National Provider Identifier
1396909701
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38644 Issued in IA
Practice address
602 8TH St Ste 105
Bonaparte, IA 52620-9769
Phone
(319) 677-0219
Fax
(888) 965-5450
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2017010125 MO
Family Medicine Physician 207Q00000X R8459 IA
Family Medicine Physician 207Q00000X 38644 IA Primary

Addresses

Primary practice location

602 8TH St Ste 105
Bonaparte, IA 52620-9769

Mailing address

PO Box 250
Bonaparte, IA 52620-0250
Phone (319) 677-0219

Other practice location 1

510 Texas St
Bonaparte, IA 52620-9779
Phone (319) 677-0219

Other practice location 2

510 Texas St
Bonaparte, IA 52620-9779
Phone (319) 677-0219

Other identifiers 1

IdentifierTypeStateIssuer
1396909701MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100603000064 IA Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Obstetrics/Gynecology 3072642875 Reassigns benefits to 1 organization
Practice locations: Bonaparte, IA
I20230314001355 NE Practitioner - Emergency Medicine 3072642875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

  • Hospice Compassus - Northeast Iowa Hospice, Cedar Rapids, IA, CCN 161566
  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38644IAMDFamily Medicine Physician
R8459IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney Emergency Medicine CurrentSince Dec 2, 2022 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Oct 23, 2017 Accepting new patients
Lantern Family Medicine, PLLC Family Medicine Current Accepting new patients
Bryan Hospital Kearney CurrentSince Dec 2, 2022 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Oct 23, 2017 Accepting new patients
Practice of Family Medicine, P.C. Family Medicine Past Accepting new patients
Jennie Edmundson Memorial Hospital Emergency Medicine Past Accepting new patients
Family Physicians of Cedar Rapids, P.C. Family Medicine PastSince Jun 26, 2022 Accepting new patients

Locations

602 8th St
Ste 105
Bonaparte, IA 52620
Phone (319) 677-0219

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25327/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396909701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "BONAPARTE",
            "state": "IA",
            "postal_code": "526200250",
            "telephone_number": "319-677-0219",
            "fax_number": "888-965-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 8TH ST STE 105",
            "city": "BONAPARTE",
            "state": "IA",
            "postal_code": "526209769",
            "telephone_number": "319-677-0219",
            "fax_number": "888-965-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Texas St",
            "address_purpose": "LOCATION",
            "city": "Bonaparte",
            "state": "IA",
            "postal_code": "526209779",
            "country_code": "US",
            "telephone_number": "319-677-0219",
            "fax_number": "888-965-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Texas St",
            "address_purpose": "LOCATION",
            "city": "Bonaparte",
            "state": "IA",
            "postal_code": "526209779",
            "country_code": "US",
            "telephone_number": "319-677-0219",
            "fax_number": "888-965-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERBER",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2017010125",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R8459",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396909701",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonaparte, IA

Sources for this page

Verify at the official NPI Registry.