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ECHO DASHAWN FAVALORO FNP-C, PMHNP-BC
NPI 1568288223
Nurse Practitioner - Psychiatric/Mental Health in Aztec, NM

Active since November 27, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Echo Dashawn Favaloro Fnp-c, Pmhnp-bc NPPES

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

ECHO DASHAWN FAVALORO FNP-C, PMHNP-BC (NPI 1568288223) is an individual psychiatric/mental health provider in Aztec, New Mexico, licensed in New Mexico (61910) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1568288223
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameECHO DASHAWN FAVALOROCredential: FNP-C, PMHNP-BC
Location Address6A ROAD 2930Aztec, NM 87410-9718
Mailing Address6a Road 2930Aztec, NM 87410-9718 · (505) 258-0616
Phone(505) 258-0616
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 27, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1568288223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · 61910
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 61910 (NM)
6A ROAD 2930, Aztec, NM 87410
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Echo Dashawn Favaloro Fnp-c, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002324142
PECOS Enrollment IDI20250731003952
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.

Medicare Billing Reassignment

Medicare enrollment records show Echo Favaloro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovation Medical Group PC
335 mi
Podiatrist
6405 S 3000 E STE 300
Salt Lake City, UT 84121
  • Reassigned Medicare billing, New Mexico enrollment
  • Medicare enrollment name: Taylor G Wright PC
  • 16 clinicians in this Medicare group
NPI 1235526682 (801) 266-3113

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87410 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Echo Favaloro's NPI number?

The NPI number for Echo Favaloro is 1568288223. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Where is Echo Favaloro located?

Echo Favaloro practices at 6A Road 2930, Aztec, NM 87410. The listed phone number is (505) 258-0616.

What is Echo Favaloro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Echo Favaloro enrolled in Medicare?

Yes. Echo Favaloro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Echo Favaloro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Echo Favaloro reassigns Medicare benefits to Innovation Medical Group PC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Echo Favaloro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Echo Favaloro was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.