Amanda Jordan Mackowski, APRN AGACNP-BC CCRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1045615 Issued in TX

Practice address

17350 St Lukes Way Ste 400
The Woodlands, TX 77384-4167

Phone

(936) 266-4847

NPI assigned

Jul 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Leigh Jordan Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
• CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

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.

• Baylor St. Luke'S Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879

  Acute Care

  Medicare reassignment Care Compare group NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Luke'S Lakeside Hospital, LLC

  • Special Hospital
  • The Woodlands, TX
  • NPI 1184868879
  Care Compare affiliation
• St. Luke'S Community Health Services

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1356912091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20207 CHASEWOOD PARK DR STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701442",
            "telephone_number": "281-444-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844167",
            "telephone_number": "936-266-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOWSKI",
        "first_name": "AMANDA",
        "middle_name": "JORDAN",
        "credential": "APRN AGACNP-BC CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1045615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JORDAN",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• M.M.K.E LLC
• M&M Endodontics PLLC
• Teresa Machuca
• Jamilyn Marie Mack, MS, LMFT-A
• Callie Mackenzie, LCSW
• Amy Maddox
• Made Ya Smile the Woodlands PLLC
• Fernando Madero Gorostieta, M.D.
• Greta Madison, EDS
• Julia Maduta

• Acute Care Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.