Individual provider Active NPI

Amanda Hedge, ARNP

  • Family Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1730851817
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A165197 Issued in IA
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

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011000171 IA Practitioner - Nurse Practitioner 5698163905 Reassigns benefits to 1 organization

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
Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians

Practice addresses (Care Compare)

115 N Main St
Hedrick, IA 52563-9400
Phone (641) 653-2437

Hospital & facility affiliations

  • Keokuk County Health Center Hospital, Sigourney, IA, CCN 161315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A165197IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center Current Accepting new patients
Keokuk County Health Center CurrentSince Sep 30, 2024 Accepting new patients
Keokuk County Health Center CurrentSince Sep 30, 2024 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

  • Direct secure messaging: ahedge620560@direct.ochin.org
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.