ANGELA FAGAN
NPI 1073944971
Nurse Practitioner - Acute Care in Jackson, MS

Q: What is Angela Fagan's NPI number?

The NPI number for Angela Fagan is 1073944971. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Q: What is Angela 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 Angela Fagan was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 03, 2013PECOS EnrolledAccepts Medicare Assignment

69.83/100

CMS Quality Rating

2500 N STATE ST, JACKSON, MS 39216(601) 984-6426(601) 984-5503 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Angela Fagan NPPES

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

ANGELA FAGAN (NPI 1073944971) is an individual acute care provider in Jackson, Mississippi, licensed in Mississippi (R858439) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073944971

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameANGELA FAGAN

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5500 · Fax (601) 984-5503

Phone(601) 984-6426

Fax(601) 984-5503

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 3, 2013

Last NPPES UpdateNovember 7, 2014

✔ NPI 1073944971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · R858439

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 2

Medicaid04888572MS

Medicare PIN342555YJ5DMS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Fagan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163655903

PECOS Enrollment IDI20140502000228

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

242 services159 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

139 services103 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

129 services94 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

29 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Merit Health Madison

Acute Care Hospitals · Canton, MS

OwnershipProprietary

CMS Certification Number250038

Location161 River Oaks DriveCanton, MS 39046 · Madison County

Emergency services

Mississippi Methodist Rehab Ctr

Acute Care Hospitals · Jackson, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number250152

Location1350 E Woodrow Wilson DrJackson, MS 39216 · Hinds County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.08

Promoting Interoperability

Improvement Activities

Cost

48.31

Other Providers at the Same Location NPPES 20

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

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