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

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: November 08, 2026.

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, is affiliated with Sisters Of Charity Hospital, and maintains a secondary practice location in Olean.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Fajardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Niagara Falls Urgent Care
Same address
Urgent Care
3117 MILITARY RD STE 2
Niagara Falls, NY 14304
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1205368172 (716) 297-2052
Som Medical Practice PLLC
Same address
Family Medicine
3117 MILITARY RD STE 1
Niagara Falls, NY 14304
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
NPI 1720598501 (716) 257-1254

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

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
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 257-1254
COMPASS MENTAL HEALTH COUNSELING PLLC
Counselor (Mental Health)
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 341-9258
CORINNA MARIE DONNER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 257-1254
AUGUST J. DOMENICO JR. DC
Chiropractor
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 433-1322
MRS. KRISTIN NOELLE TANTILLO LMT
Specialist
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 930-1060
MR. DOUGLAS ALLEN PEARCE FNP
Nurse Practitioner (Family)
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 257-1254
MARGARET A DESMARAIS FNP
Nurse Practitioner (Family)
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (716) 257-1254
FRANKIE S KRAFT LMSW
Social Worker
3117 MILITARY RD
NIAGARA FALLS, NY 14304
Niagara County (516) 661-5621

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 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.

Where is Amanda Fajardo located?

Amanda Fajardo practices at 3117 Military Rd, Niagara Falls, NY 14304. The listed phone number is (716) 247-1254.

What is Amanda Fajardo's specialty?

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

Is Amanda Fajardo enrolled in Medicare?

Yes. Amanda Fajardo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Fajardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Fajardo reassigns Medicare benefits to 2 organizations: Niagara Falls Urgent Care (Niagara Falls, NY) and Som Medical Practice PLLC (Niagara Falls, NY). Each 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 Fajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amanda Fajardo affiliated with any hospitals?

According to CMS data, Amanda Fajardo is affiliated with Sisters Of Charity Hospital.

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 20 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.