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

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: October 25, 2026.

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

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
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

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.

Medicare Billing Reassignment

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

Sunrise Clinics
56 mi
Federally Qualified Health Center (FQHC)
117 CAMINO DE VIDA STE 300
Santa Rosa, NM 88435
  • Reassigned Medicare billing, New Mexico enrollment
  • 31 clinicians in this Medicare group
NPI 1164055927 (575) 472-4311

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 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 8

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)
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 454-0322
DR. RAYMOND F. ORTIZ MD
Internal Medicine
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 426-8010
STEPHANIE MONTOYA CHW
Community Health Worker
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 434-0119
SUNRISE CLINICS
Clinic/Center (Federally Qualified Health Center (FQHC))
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 434-0119
AMANDA ROMERO-MONTANO NURSE PRACTITIONER
Nurse Practitioner (Family)
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 434-0119
SAN MIGUEL CLINIC CORP
Family Medicine
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 425-2662
JAYLEN GUTIERREZ CNP
Nurse Practitioner (Family)
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 434-0119
DR. JESUS TAFOYA M.D.
Family Medicine
2515 RIDGE RUNNER RD
LAS VEGAS, NM 87701
San Miguel County (505) 434-0119

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 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.

Where is Amanda Pacheco located?

Amanda Pacheco practices at 2515 Ridge Runner Rd, Las Vegas, NM 87701. The listed phone number is (505) 434-0119.

What is Amanda Pacheco's specialty?

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

Is Amanda Pacheco enrolled in Medicare?

Yes. Amanda Pacheco 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 Amanda Pacheco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Pacheco reassigns Medicare benefits to Sunrise Clinics (Santa Rosa, NM). 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 Amanda Pacheco'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 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 16 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.