Susan K Fajardo, R.P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00554 Issued in KS

Practice address

6345 Long St
Shawnee, KS 66216-2559

Phone

(913) 631-6400

Fax

(913) 631-6868

NPI assigned

Aug 5, 2006

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmeri Family Medicine Associates PAGroup PAC ID 5496982779, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmeri Family Medicine Associates PA

  • Family Medicine Physician
  • Shawnee, KS
  • NPI 1326470097
  Medicare reassignment Care Compare group
• Family Practice Associates CHTD

  • Family Medicine Physician
  • Kansas City, KS
  • NPI 1790794089
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation
• Midwest Division - RMC, LLC

  dba Research Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1073522447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12066",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661120066",
            "telephone_number": "913-299-4966",
            "fax_number": "913-299-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 LONG ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162559",
            "telephone_number": "913-631-6400",
            "fax_number": "913-631-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "R.P.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Associates of Shawnee PA
• Eye-Pros of Shawnee Inc
• Tory Eylar, CFA
• Betsy Ezell
• Cecil J Fackrell, PA-C
• Diana Faltermeier, APRN
• Ann Adams Fay, DDS
• Anne Feye
• Kara Renee Field, APRN
• Flor Fierro Nunez, NP

• Physician Assistant in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.