Amanda Ann McDonald, RN FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

573288 Issued in NY

Practice address

200 Ohio St
Medina, NY 14103-1063

Phone

(585) 798-8176

Fax

(585) 798-8438

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amanda Ann Jakubec Former name

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.

• Orleans Community Health

  • Critical Access Hospital
  • Medina, NY
  • NPI 1609873520

  NY

  Medicare reassignment Care Compare group NPD
• Orleans Community Health

  • Medicare Defined Swing Bed Hospital Unit
  • Medina, NY
  • NPI 1023149549
  Care Compare group NPD
• Orleans Community Health

  • Rural Health Clinic/Center
  • Albion, NY
  • NPI 1508119884
  Care Compare group NPD
• Orleans Community Health

  • Skilled Nursing Facility
  • Medina, NY
  • NPI 1043341563
  Care Compare group
• Orleans Community Health

  • Critical Access Hospital
  • Batavia, NY
  • NPI 1366573131
  Care Compare group
• Orleans Community Health

  • Critical Access Hospital
  • Medina, NY
  • NPI 1437280955
  Care Compare group

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

• Orleans Community Health

  • Critical Access Hospital
  • Medina, NY
  • NPI 1609873520

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orleans Community Health 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medina Memorial Hospital Hospital, Medina, NY, CCN 331319

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1497521058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OHIO ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031063",
            "telephone_number": "585-798-8176",
            "fax_number": "525-798-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OHIO ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031063",
            "telephone_number": "585-798-8176",
            "fax_number": "585-798-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "573288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JAKUBEC",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "RN FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Elizabeth Luhr Johnson, CRNA
• Thomas J Madejski, MD
• Cindy Michelle Marzan, LPN
• Debra Lynn Mattoon, LPN
• Richard F Matuszak, RD, LD
• Derrick Laird McGaughey, L.S.P., C.C.C.
• Kelly Deann McMurray, LPN
• Medina Central School District
• Medina Dental PLLC
• Medina Optical Fashions, Inc.

• All providers in Medina, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.