MRS. TARA T.S. FAGAN APRN
NPI 1114205473
Nurse Practitioner - Family in Westbrook, CT
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Tara Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 124 clinicians in this Medicare group
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 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.
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.
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.
Which organization bills Medicare for Tara Fagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Fagan reassigns Medicare benefits to Mc Diagnostic Of Connecticut, P.C. (Rocky Hill, CT). 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 Tara Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Fagan accept?
Health plans from Anthem Blue Cross and Blue Shield list Tara Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Mrs. Tara T.s. Fagan, APRN · NPI 1114205473
Family physician in Westbrook, Connecticut. Individual provider, active in the CMS NPPES registry since August 3, 2011.
## Identity
- **NPI:** 1114205473 (Entity type: Individual)
- **Enumerated:** August 3, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4711 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 250 FLAT ROCK PL, Westbrook, CT 06498-1565
- **Phone:** (860) 358-3760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mc Diagnostic Of Connecticut, P.C. (NPI 1386821932, Rocky Hill, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1114205473) · Data from the CMS NPPES public registry.