MRS. AMANDA RENEE PACHECO FNP-C
NPI 1619864089
Nurse Practitioner - Family in Las Vegas, NM

Q: What is Amanda Pacheco's NPI number?

The NPI number for Amanda Pacheco is 1619864089. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Q: What is Amanda Pacheco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Pacheco was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 19, 2025PECOS EnrolledAccepts Medicare Assignment

2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701(505) 434-0119 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jun 19, 2025 (2 updates tracked since 2025).

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About Mrs. Amanda Renee Pacheco Fnp-c NPPES

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

MRS. AMANDA RENEE PACHECO FNP-C (NPI 1619864089) is an individual family provider in Las Vegas, New Mexico, licensed in New Mexico (84599) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619864089

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. AMANDA RENEE PACHECOCredential: FNP-C

Location Address2515 RIDGE RUNNER RDLas Vegas, NM 87701-4972

Mailing AddressPo Box 46Serafina, NM 87569-0046 · (505) 426-7575

Phone(505) 434-0119

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 19, 2025

Last NPPES UpdateJune 25, 20252 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1619864089 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 NM · 84599

2515 RIDGE RUNNER RD, Las Vegas, NM 87701

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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 and accepts Medicare assignment

Mrs. Amanda Renee Pacheco Fnp-c 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 ID6305346495

PECOS Enrollment IDI20250822003672

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 87701 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.

Other Providers at the Same Location NPPES 9

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

SAN MIGUEL CLINIC CORP

Clinic/Center (Rural Health)