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

Q: 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.

Q: What is Devona Fagan's specialty?

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

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.