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MRS. DEVONA L. FAGAN N.P.
NPI 1013167402
Nurse Practitioner - Acute Care in Boulder City, NV

Active since September 23, 2008PECOS Enrolled
895 ADAMS BLVD, BOULDER CITY, NV 89005(702) 293-0406(702) 293-0192 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Devona L. Fagan N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEVONA L. FAGAN N.P. (NPI 1013167402) is an individual acute care provider in Boulder City, Nevada, licensed in California (17793) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013167402
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. DEVONA L. FAGANCredential: N.P.
Location Address895 ADAMS BLVDBoulder City, NV 89005-2235
Mailing Address895 Adams BlvdBoulder City, NV 89005-2235 · (702) 293-0406 · Fax (702) 293-0192
Phone(702) 293-0406
Fax(702) 293-0192
Sole ProprietorYes
Enumeration DateSeptember 23, 2008
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1013167402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 17793
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License NP17793 (CA)
895 ADAMS BLVD, Boulder City, NV 89005
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Devona L. Fagan N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Devona Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jim C Chiang MD Ltd
Same address
Family Medicine
895 ADAMS BLVD
Boulder City, NV 89005
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
NPI 1710161518 (702) 293-0406

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89005 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CRISTINA VICTORIA LANDA PA-C
Physician Assistant
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406
JOANNE GRACE LEOVY MD LLC
Family Medicine
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406
HERVE BEZARD MD
Family Medicine
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406
JIM C CHIANG MD
Family Medicine
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406
MS. LAUREN CLARK PA-C
Physician Assistant (Medical)
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406
CASEY ELIZABETH BUNKER FNP
Nurse Practitioner (Family)
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406
FAMILY DOCTORS OF BOULDER CITY
Clinic/Center (Primary Care)
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406
WARREN L SMITH MD
Family Medicine
895 ADAMS BLVD
BOULDER CITY, NV 89005
Clark County (702) 293-0406

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 Devona Fagan's NPI number?

The NPI number for Devona Fagan is 1013167402. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Devona Fagan located?

Devona Fagan practices at 895 Adams Blvd, Boulder City, NV 89005. The listed phone number is (702) 293-0406.

What is Devona Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Devona Fagan enrolled in Medicare?

Yes. Devona Fagan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Devona Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devona Fagan reassigns Medicare benefits to Jim C Chiang MD Ltd (Boulder City, NV). The 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 Devona Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Devona Fagan was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.