Active NPI
Amanda S Dalaska, ARNP
- Family Nurse Practitioner
- Clinton, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A122875
- Practice address
- 221 Main Ave
Clinton, IA 52732-2241 - Phone
- (563) 242-7522
- Fax
- (563) 242-7534
- NPI assigned
- Aug 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A122875 | IA | Primary |
| Family Nurse Practitioner | 363LF0000X | 277003813 | IL |
Addresses
Primary practice location
221 Main Ave
Clinton, IA 52732-2241
Mailing address
PO Box 4028
Rock Island, IL 61204-4028
Phone (563) 355-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121116000249 | IA | Practitioner - Nurse Practitioner | 7012168206 | Reassigns benefits to 1 organization |
| I20141002001561 | IL | Practitioner - Nurse Practitioner | 7012168206 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 W 53Rd St
Mercyone Genesis Northwest Convenie
Davenport, IA 52806-2459
Phone (563) 421-3800
301 N 4TH Ave
Mercyone Genesis Eldridge
Eldridge, IA 52748-1113
Phone (563) 421-9880
3200 W Kimberly Rd
Davenport, IA 52806-3059
Phone (563) 421-0100
4321 53Rd Ave
Bettendorf, IA 52722-1269
Phone (563) 421-5300
619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487
Hospital & facility affiliations
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122875 | IA | MD | Family Nurse Practitioner |
| 277003813 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Specialty Clinic | Past | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Clinton, IA
- NPI 1386832764
-
- Family Medicine Physician
- Moline, IL
- NPI 1164538435
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": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1962750422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4028",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612044028",
"telephone_number": "563-355-9200",
"fax_number": "563-355-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAIN AVE",
"city": "CLINTON",
"state": "IA",
"postal_code": "527322241",
"telephone_number": "563-242-7522",
"fax_number": "563-242-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALASKA",
"first_name": "AMANDA",
"middle_name": "S",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A122875",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277003813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.