AMANDA FAJARDO
NPI 1851104301
Nurse Practitioner - Adult Health in Niagara Falls, NY

Q: What is Amanda Fajardo's NPI number?

The NPI number for Amanda Fajardo is 1851104301. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Q: What is Amanda Fajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Fajardo was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 29, 2025PECOS Enrolled

3117 MILITARY RD, NIAGARA FALLS, NY 14304(716) 247-1254 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Amanda Fajardo NPPES

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

AMANDA FAJARDO (NPI 1851104301) is an individual adult health provider in Niagara Falls, New York, licensed in New York (711479-01) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Olean, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1851104301

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAMANDA FAJARDO

Location Address3117 MILITARY RDNiagara Falls, NY 14304-4813

Mailing Address3117 Military RdNiagara Falls, NY 14304-4813 · (716) 257-1254 · Fax (716) 215-6170

Phone(716) 247-1254

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 29, 2025

Last NPPES UpdateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1851104301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 711479-01

3117 MILITARY RD, Niagara Falls, NY 14304

Open in Google Maps ↗

Secondary Practice Location 1

Location 1901 Wayne StOlean, NY 14760-2255 · Phone (716) 257-1254 · Fax (716) 215-6170

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Fajardo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42782385

PECOS Enrollment IDI20260617002593

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 14304 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 16

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

PRASHANT SHARMA

Physician Assistant