KAREN FAGAN APN
NPI 1114463502
Nurse Practitioner - Family in Michigan City, IN

Q: What is Karen Fagan's NPI number?

The NPI number for Karen Fagan is 1114463502. It was assigned to this individual provider in the NPPES registry on January 10, 2017.

Q: What is Karen Fagan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Fagan was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 10, 2017PECOS EnrolledAccepts Medicare Assignment

200 ALFRED ST, MICHIGAN CITY, IN 46360(815) 773-7827 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2017, Mar 2, 2017, Jan 10, 2017 (3 updates tracked since 2017).

On this page

About Karen Fagan Apn NPPES

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

KAREN FAGAN APN (NPI 1114463502) is an individual family provider in Michigan City, Indiana, licensed in Illinois (209015643) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114463502

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAREN FAGANCredential: APN

Location Address200 ALFRED STMichigan City, IN 46360

Mailing Address710 Franklin St Ste 200Michigan City, IN 46360-3564 · (219) 872-6200 · Fax (219) 879-2915

Phone(815) 773-7827

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 10, 2017

Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1114463502 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 IL · 209015643

200 ALFRED ST, Michigan City, IN 46360

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Karen Fagan Apn 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 ID5698042489

PECOS Enrollment IDI20170526001513, I20210806000257

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.

Hospital Affiliations CMS Care Compare

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

97%58 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

38%182 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

97%185 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

1%75 patients1/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

7%190 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

HEALTHLINC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))