Individual provider Active NPI

Amy R Ordiway, NP

  • Family Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1124165824
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356733 Issued in NY
Practice address
21 Porter Ave
Jamestown, NY 14701-6247
Phone
(716) 664-1909
Fax
(716) 664-2214
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 356733 NY Primary

Addresses

Primary practice location

21 Porter Ave
Jamestown, NY 14701-6247

Mailing address

3041 Orchard Park Rd
Ste C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000703 PA Practitioner - Nurse Practitioner 2365497880 Reassigns benefits to 1 organization
I20250630001082 NY Practitioner - Nurse Practitioner 2365497880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians

Practice addresses (Care Compare)

199 Park Club LN
Williamsville, NY 14221-5269

21 Porter Ave
Jamestown, NY 14701-6247
Phone (716) 664-1909

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
  • Warren General Hospital Hospital, Warren, PA, CCN 390146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saif Soniwala,M.D.,PC Current Accepting new patients
Rpci Oncology PC CurrentSince May 1, 2025 Accepting new patients
Great Lakes Otolaryngology PC CurrentSince Apr 1, 2019 Accepting new patients

Locations

21 Porter Ave
Jamestown, NY 14701
Phone (716) 664-1909

199 Park Club Ln
Ste 500
Williamsville, NY 14221

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

1 Timberview Ln
Russell, PA 16345
Phone (814) 757-5834

10 Timberview Ln
Russell, PA 16345
Phone (716) 376-2203

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1124165824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD",
            "address_2": "STE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271238",
            "telephone_number": "716-674-3104",
            "fax_number": "716-674-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016247",
            "telephone_number": "716-664-1909",
            "fax_number": "716-664-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDIWAY",
        "first_name": "AMY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.