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AMANDA MAUREEN JORDAN PHYSICIAN ASSISTANT
NPI 1861236036
Physician Assistant - Surgical in Niagara Falls, NY

Active since June 22, 2024PECOS Enrolled
621 10TH ST, NIAGARA FALLS, NY 14301(716) 517-5436 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Amanda Maureen Jordan Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MAUREEN JORDAN PHYSICIAN ASSISTANT (NPI 1861236036) is an individual surgical provider in Niagara Falls, New York, licensed in New York (031114) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861236036
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAMANDA MAUREEN JORDANCredential: PHYSICIAN ASSISTANT
Location Address621 10TH STNiagara Falls, NY 14301-1813
Mailing Address814 Lighthouse PtGrand Island, NY 14072-2267 · (716) 517-5436
Phone(716) 517-5436
Sole ProprietorNo
Enumeration DateJune 22, 2024
NPPES CertifiedJune 22, 2024
✔ NPI 1861236036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 031114
621 10TH ST, Niagara Falls, NY 14301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Maureen Jordan Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN MICHAEL CILNYK M.D.
Anesthesiology
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4000
MR. STEVEN ROBERT LUMLEY MSC, ATC
Specialist/Technologist (Athletic Trainer)
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4000
UVIEROGHENE PETER OGBEBOR MBBS
Student in an Organized Health Care Education/Training Program
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4000
MICHAEL JAMES PETSCH CRNA
Nurse Anesthetist, Certified Registered
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4000
RONALD A COOKE MD
Psychiatry & Neurology (Psychiatry)
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4000
DR. MICHELLE ANN LEWIS PHARMD, MHA
Pharmacist
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4348
DR. LAUREN NICOLE USLINOV M.D.
Psychiatry & Neurology (Psychiatry)
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4000
AMANDA NEWMAN LMHC-P
Counselor (Mental Health)
621 10TH ST
NIAGARA FALLS, NY 14301
Niagara County (716) 278-4541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Jordan's NPI number?

The NPI number for Amanda Jordan is 1861236036. It was assigned to this individual provider in the NPPES registry on June 22, 2024.

Where is Amanda Jordan located?

Amanda Jordan practices at 621 10th St, Niagara Falls, NY 14301. The listed phone number is (716) 517-5436.

What is Amanda Jordan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amanda Jordan enrolled in Medicare?

Yes. Amanda Jordan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Jordan was last updated on June 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.