Individual provider Active NPI

Amy Jo Ganske, ARNP

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1891891339
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A090739 Issued in IA
Practice address
202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone
(319) 297-2900
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A090739 IA
Family Nurse Practitioner 363LF0000X A090739 IA Primary

Addresses

Primary practice location

202 10TH St SE
Cedar Rapids, IA 52403-2414

Mailing address

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 297-2900

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
I20061020000210 IA Practitioner - Nurse Practitioner 3173529849 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A090739IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Methodist Hospital CurrentSince Feb 1, 2015 Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Jan 12, 2018 Accepting new patients
St Luke'S Methodist Hospital CurrentSince Feb 1, 2015 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 16, 2025 Accepting new patients
Physicians' Clinic of Iowa, PC CurrentSince Jan 12, 2018 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Windsor Manor Past Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

104 Broadway Pl
Anamosa, IA 52205
Phone (319) 462-5817

202 10th St SE
Ste 111
Cedar Rapids, IA 52403
Phone (319) 369-7827

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

400 E Court Ave
Ste 110
Des Moines, IA 50309

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD
  • Direct secure messaging: aganske40589@direct.unitypoint.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1891891339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-297-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-297-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSKE",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "A090739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A090739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.