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

Amanda J Bacon

Individual provider Medical Physician Assistant · NPI 1477370856

Amanda J Bacon is a Physician Assistant in Iowa City, Iowa. Qualified in 2024, 2 years ago. Practices with State University of Iowa, a 1,885-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
2
Licensed in
IA
In the registry since
2024

Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 353-6360
Fax: (319) 353-7006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 E Polk St, Washington, IA 52353-1237 — (319) 353-6360

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 129395 (IA)

Record details

NPI number1477370856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Iowa City