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ANTONIA ESTHER ALONSO FAJARDO APRN, FNPC
NPI 1205684453
Nurse Practitioner - Family in Las Vegas, NV

Active since May 10, 2024PECOS Enrolled
2560 S MARYLAND PKWY STE 11&12, LAS VEGAS, NV 89109(702) 444-7524 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2026, May 10, 2024 (2 updates tracked since 2024).

About Antonia Esther Alonso Fajardo Aprn, Fnpc NPPES

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

ANTONIA ESTHER ALONSO FAJARDO APRN, FNPC (NPI 1205684453) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (863978) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205684453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANTONIA ESTHER ALONSO FAJARDOCredential: APRN, FNPC
Location Address2560 S MARYLAND PKWY STE 11&12Las Vegas, NV 89109-1695
Mailing Address2843 Beaconfalls WayLas Vegas, NV 89142-2560 · (702) 695-4010
Phone(702) 444-7524
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 10, 2024
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1205684453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 863978
2560 S MARYLAND PKWY STE 11&12, Las Vegas, NV 89109
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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)

Antonia Esther Alonso Fajardo Aprn, Fnpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890277859
PECOS Enrollment IDI20260619001984
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JENNY ANA CENTENO D ROUX APRN-CNP
Nurse Practitioner (Family)
2560 S MARYLAND PKWY STE 11&12
LAS VEGAS, NV 89109
Clark County (702) 444-7524

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 Antonia Esther Fajardo's NPI number?

The NPI number for Antonia Esther Fajardo is 1205684453. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Antonia Esther Fajardo located?

Antonia Esther Fajardo practices at 2560 S Maryland Pkwy Ste 11&12, Las Vegas, NV 89109. The listed phone number is (702) 444-7524.

What is Antonia Esther Fajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Antonia Esther Fajardo enrolled in Medicare?

Yes. Antonia Esther Fajardo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonia Esther Fajardo was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.