Amanda J Bacon

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

129395 Issued in IA

Practice address

200 Hawkins Dr
Iowa City, IA 52242-1009

Phone

(319) 353-6360

Fax

(319) 353-7006

NPI assigned

Sep 25, 2024

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Hospital and Clinics Hospital, Washington, IA, CCN 161344

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• State University of Iowa

  dba University of Iowa Health Care

  • Family Medicine Physician
  • Iowa City, IA
  • NPI 1477554814
  Medicare reassignment Care Compare group NPD
• State University of Iowa

  dba UI Family Care Southeast Iowa City

  • Family Medicine Physician
  • Iowa City, IA
  • NPI 1730138579
  NPD
• State University of Iowa

  dba Student Health & Wellness

  • Student Health Clinic/Center
  • Iowa City, IA
  • NPI 1285635664
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Washington County Hospital

  dba Washington County Hospital & Clinics

  • Critical Access Hospital
  • Washington, IA
  • NPI 1053305326
  Care Compare affiliation
• Washington County Hospital

  dba Ken and Rosemary Hanson Specialty Clinic

  • Clinic/Center
  • Washington, IA
  • NPI 1215539952

  Hospital

  Care Compare affiliation
• Washington County Hospital

  dba Washington County Hospital and Clinics Neurology Clinic

  • Neurology Physician
  • Washington, IA
  • NPI 1326402355

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1477370856",
    "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": "319-353-6360",
            "fax_number": "319-353-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-6360",
            "fax_number": "319-353-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Polk St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523531237",
            "country_code": "US",
            "telephone_number": "319-353-6360",
            "fax_number": "319-353-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACON",
        "first_name": "AMANDA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "129395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal K Azondoga
• Bahjat Azrieh, MD
• Charles Patrick Bach, MD
• Ashley Bachman
• Alison Marie Backous, NNP
• Amy Sue Bader Takes, ARNP
• Aditya Vijaykumar Badheka, MD
• Karen D Bading, RN
• Jessica Erin Baer Karnell, WHNP, AGPCNP
• Naina Bagrodia, M.D.

• Medical Physician Assistant in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.