Individual provider Active NPI

Amy M Dupont, PA-C

  • Physician Assistant
  • North Liberty, IA
National Provider Identifier
1588067557
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
121704 Issued in IA
Practice address
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone
(319) 384-6562
Fax
(319) 356-3949
NPI assigned
Oct 3, 2014
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 121704 IA Primary

Addresses

Primary practice location

701 W Forevergreen Rd
North Liberty, IA 52317-9848

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-0520

Other practice location 1

411 10th St SE Ste 2300
Cedar Rapids, IA 52403-2467
Phone (319) 731-1430

Other practice location 2

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150

Other practice location 3

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 467-6789

Other practice location 4

1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 467-8350

Other practice location 5

720 Pacha Pkwy Ste 1
North Liberty, IA 52317-4797
Phone (319) 384-8822

Other practice location 6

767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8333

Other practice location 7

201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Phone (319) 384-0520

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
I20231215000928 IA Practitioner - Physician Assistant 0840512323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
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)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11941MNMDPhysical Therapist
121704IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Dec 6, 2023 Accepting new patients
State University of Iowa CurrentSince Dec 6, 2023 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
State University of Iowa Past Accepting new patients
Hennepin Healthcare System, Inc Past Accepting new patients

Locations

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

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

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

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1588067557",
    "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": "319-384-0520",
            "fax_number": "319-384-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FOREVERGREEN RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179848",
            "telephone_number": "319-384-6562",
            "fax_number": "319-356-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 10th St SE Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524032467",
            "country_code": "US",
            "telephone_number": "319-731-1430",
            "fax_number": "319-731-1435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2591 Holiday Rd",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522413039",
            "country_code": "US",
            "telephone_number": "319-467-7150",
            "fax_number": "319-467-7140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Middlebury Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452712",
            "country_code": "US",
            "telephone_number": "319-467-6789",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1632 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522406044",
            "country_code": "US",
            "telephone_number": "319-467-8350",
            "fax_number": "319-467-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Pacha Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523174797",
            "country_code": "US",
            "telephone_number": "319-384-8822",
            "fax_number": "319-467-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "767 Mormon Trek Blvd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522461812",
            "country_code": "US",
            "telephone_number": "319-384-8333",
            "fax_number": "319-467-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Clinton St Ste 168",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522404034",
            "country_code": "US",
            "telephone_number": "319-384-0520",
            "fax_number": "319-384-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "121704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.