Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Jane Peterson

Individual provider Registered Nurse · NPI 1528503695

Amanda Jane Peterson is a Nurse Practitioner in Davenport, Iowa. Qualified in 2016, 10 years ago. Practices with Genesis Health System, a 262-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
10
Licensed in
IA, IL
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

1351 W Central Park Ave
Davenport, IA 52804-1853
Phone: (563) 421-1900
Fax: (563) 421-1809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Illini Dr, Silvis, IL 61282-1804 — (309) 281-5180

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A165003 (IA)
Registered Nurse Taxonomy 163W00000X · Licence 132137 (IA)
Registered Nurse Taxonomy 163W00000X · Licence 041511033 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209023700 (IL)

Record details

NPI number1528503695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2016
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Genesis Health System — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Davenport