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
Mailing address1351 W Central Park Ave, Davenport, IA 52804-1853

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