DR. MISTY LYNN PAGAN NURSE PRACTITIONER
NPI 1184119844
Nurse Practitioner - Primary Care in Lake Havasu City, AZ

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
1980 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403(928) 392-3691 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 29, 2026, Mar 30, 2026, Nov 2, 2018 and 3 more (6 updates tracked since 2018).

About Dr. Misty Lynn Pagan Nurse Practitioner NPPES

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

DR. MISTY LYNN PAGAN NURSE PRACTITIONER (NPI 1184119844) is an individual primary care provider in Lake Havasu City, Arizona, licensed in Arizona (AP10023) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Havasu City, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184119844
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDR. MISTY LYNN PAGANCredential: NURSE PRACTITIONER
Location Address1980 MESQUITE AVELake Havasu City, AZ 86403-7713
Mailing AddressPo Box 617Somerton, AZ 85350-0617
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateMay 29, 20266 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1184119844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AZ · AP10023
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP10023 (AZ)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP10023 (AZ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP10023 (AZ)
1980 MESQUITE AVE, Lake Havasu City, AZ 86403

Secondary Practice Location 1

Location 11940 Mesquite AveLake Havasu City, AZ 86403-6123 · Phone (928) 459-3512

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

Dr. Misty Lynn Pagan Nurse Practitioner 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 ID4385996321
PECOS Enrollment IDI20260114003903, I20260410003233
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 86403 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 2

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

Podiatrist (Foot & Ankle Surgery)
1980 MESQUITE AVE, SUITE 103
LAKE HAVASU CITY, AZ 86403
Clinic/Center (Multi-Specialty)
1980 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184119844, enumerated as an "individual" on June 26, 2018.

The provider is located at 1980 MESQUITE AVE LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 392-3691.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.