Active NPI
Amanda Hedge, ARNP
- Family Nurse Practitioner
- Ottumwa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A165197
- Practice address
- 201 S Market St
Ottumwa, IA 52501-2924 - Phone
- (641) 683-5773
- Fax
- (641) 226-5759
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A165197 | IA | Primary |
Addresses
Primary practice location
201 S Market St
Ottumwa, IA 52501-2924
Mailing address
PO Box 458
Ottumwa, IA 52501-0458
Phone (641) 684-6896
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 N Main St
Hedrick, IA 52563-9400
Phone (641) 653-2437
Hospital & facility affiliations
- Keokuk County Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165197 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keokuk County Health Center | Current | Accepting new patients | |
| Keokuk County Health Center | Current | Accepting new patients | |
| Keokuk County Health Center | Current | Accepting new patients |
Locations
23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720
1314 S Stuart St
Sigourney, IA 52591
Phone (641) 622-3840
Interoperability endpoints
- ahedge620560@direct.ochin.org
- https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Sigourney, IA
- NPI 1376611103
-
- Rural Health Clinic/Center
- Sigourney, IA
- NPI 1073898649
-
- Rural Health Clinic/Center
- Hedrick, IA
- NPI 1588492862
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sigourney, IA
- NPI 1376611103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1730851817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 458",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525010458",
"telephone_number": "641-684-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S MARKET ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012924",
"telephone_number": "641-683-5773",
"fax_number": "641-226-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGE",
"first_name": "AMANDA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A165197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.