SUSAN K FAJARDO (R.P.A.C.) – Family Medicine Physician, NPI 1073522447
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for SUSAN K FAJARDO (R.P.A.C.)
Long Street, Shawnee, Johnson County, Kansas, 66216, United States
SHAWNEE, KS 662162559
Phone: (913) 631-6400
Fax: (913) 631-6868
Type: Location
PO BOX 12066
KANSAS CITY, KS 661120066
Phone: (913) 299-4966
Fax: (913) 299-4205
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $2,443.
Total Amount is formed as General ($2,443) + Research ($0) + Ownership ($0) = $2,443.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($776).
Total Amount
$2,443
General + Research + Ownership
Payments
97
Total payment records
General Amount
$2,443
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $776 |
| Novo Nordisk Inc | $448 |
| Lilly USA, LLC | $311 |
| Amgen Inc. | $280 |
| Janssen Pharmaceuticals, Inc | $213 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060313000131 | I | Physician Assistant | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Family Practice | IN | |
| - | KS | |
| Family Practice | KS |
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