MRS. TARA T.S. FAGAN APRN
NPI 1114205473
Nurse Practitioner - Family in Westbrook, CT

Active since August 03, 2011PECOS Enrolled
250 FLAT ROCK PL, WESTBROOK, CT 06498(860) 358-3760 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tara T.s. Fagan Aprn NPPES

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

MRS. TARA T.S. FAGAN APRN (NPI 1114205473) is an individual family provider in Westbrook, Connecticut, licensed in Connecticut (4711) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114205473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TARA T.S. FAGANCredential: APRN
Location Address250 FLAT ROCK PLWestbrook, CT 06498-1565
Mailing Address7 Partridge Hollow RdKillingworth, CT 06419-1025 · (860) 452-4042
Sole ProprietorYes
Enumeration DateAugust 3, 2011
Last NPPES UpdateMarch 2, 2017
NPI 1114205473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 4711
250 FLAT ROCK PL, Westbrook, CT 06498

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. Tara T.s. Fagan Aprn 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 06498 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 14

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

Nurse Practitioner (Family)
250 FLAT ROCK PL, 2ND FL
WESTBROOK, CT 06498
Family Medicine
250 FLAT ROCK PL, 2ND FL
WESTBROOK, CT 06498
Nurse Practitioner
250 FLAT ROCK PL
WESTBROOK, CT 06498
Family Medicine
250 FLAT ROCK PL
WESTBROOK, CT 06498
Family Medicine
250 FLAT ROCK PL
WESTBROOK, CT 06498
Physician Assistant
250 FLAT ROCK PL, 2ND FL
WESTBROOK, CT 06498
Family Medicine
250 FLAT ROCK PL
WESTBROOK, CT 06498
Registered Nurse (Emergency)
250 FLAT ROCK PL
WESTBROOK, CT 06498

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 Tara Fagan's NPI number?

The NPI number for Tara Fagan is 1114205473. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Tara Fagan located?

Tara Fagan practices at 250 Flat Rock Pl, Westbrook, CT 06498. The listed phone number is (860) 358-3760.

What is Tara Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Fagan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Fagan was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.