Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Amanda Mary Jackiewicz, PA-C

Individual provider Physician Assistant · NPI 1730601949

MS. Amanda Mary Jackiewicz, PA-C is a Physician Assistant in Odenton, Maryland. Qualified in 2017, 9 years ago. Practices with St Paul Place Specialists, Inc, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Greater Maryland Pain Management 1130 Annapolis Rd Ste 100
Odenton, MD 21113
Phone: (410) 672-2255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2401 W Belvedere Ave, Baltimore, MD 21215-5216 — (410) 601-9000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0006512 (MD)
Physician Assistant Taxonomy 363A00000X · Licence C06512 (MD)

Record details

NPI number1730601949
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESOctober 24, 2018
Mailing address8700 Silver Knoll Dr, Perry Hall, MD 21128-9165

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Paul Place Specialists, Inc. — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Odenton