Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan K Fajardo, RPAC

Individual provider Physician Assistant · NPI 1073522447

Susan K Fajardo, RPAC is a Physician Assistant in Shawnee, Kansas. Qualified in 1987, 39 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
39
Licensed in
KS
In the registry since
2006
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Practice location Address checks out

6345 Long St
Shawnee, KS 66216-2559
Phone: (913) 631-6400
Fax: (913) 631-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-00554 (KS)

Record details

NPI number1073522447
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shawnee