Amanda Renee Pacheco, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

84599 Issued in NM

Practice address

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972

Phone

(505) 434-0119

NPI assigned

Jun 19, 2025

Sex

Female

Sole proprietor

No

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

• Sunrise Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, NM
  • NPI 1164055927

  NM

  Medicare reassignment Care Compare group NPD
• Sunrise Clinics

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1194408625
  Care Compare group
• Sunrise Clinics

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
  • NPI 1376326942
  Care Compare group

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Clinics 33 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NM

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2025.

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1619864089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "SERAFINA",
            "state": "NM",
            "postal_code": "875690046",
            "telephone_number": "505-426-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014972",
            "telephone_number": "505-434-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "84599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rae Ortiz
• Tamara M Ortiz, BMS
• Jeff Ortzow
• Teresa Ortzow
• Maryann Katharyn Osuchowski, PHD, FNP-BC
• Eric M Pacheco, D.D.S.
• Sarah Pacheco, LBSW
• Sylvia A Pacheco, LPCC
• Alicia A Padilla, FNP
• Antonette Padilla

• All providers in Las Vegas, NM
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.