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LINDA R. FAGAN INC.
NPI 1245582824
Nurse Practitioner - Family in Homestead, FL

Active since October 08, 2012CLIA 10D0944893 · Waiver
45 NW 4TH ST, HOMESTEAD, FL 33030(305) 246-8224(305) 246-8556 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Linda R. Fagan Inc. NPPES

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

LINDA R. FAGAN INC. (NPI 1245582824) is a healthcare organization registered as a family in Homestead, Florida and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Linda R Fagan, President, as its authorized official.

NPPES Registry Identity

NPI1245582824
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLINDA R. FAGAN INC.
Location Address45 NW 4TH STHomestead, FL 33030-5941
Mailing Address45 Nw 4th StHomestead, FL 33030-5941 · (305) 246-8224 · Fax (305) 246-8556
Phone(305) 246-8224
Fax(305) 246-8556
Organization SubpartNo
Authorized OfficialLinda R FaganPresident · (305) 246-8224
Enumeration DateOctober 8, 2012
✔ NPI 1245582824 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 FL · ARNP647292
45 NW 4TH ST, Homestead, FL 33030
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINY4049AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Linda R. Fagan Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Linda R. Fagan Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Linda Fagan, ARNP
Nurse Practitioner
NPI 1154590602
45 NW 4TH ST
Homestead, FL 33030
(305) 246-8224
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0944893

Linda R Fagan · Homestead, FL
Active · expires Jun 28, 2027
CLIA Number10D0944893
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorLinda R. Fagan
Laboratory Phone(305) 246-8224
Laboratory LocationLinda R Fagan45 NW 4th St, Homestead, FL 33033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Linda R. Fagan Inc.'s NPI number?

The NPI number for Linda R. Fagan Inc. is 1245582824. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is Linda R. Fagan Inc. located?

Linda R. Fagan Inc. is located at 45 NW 4th St, Homestead, FL 33030. The listed phone number is (305) 246-8224.

What is Linda R. Fagan Inc.'s specialty?

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

Is Linda R. Fagan Inc. enrolled in Medicare?

Yes. Linda R. Fagan Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Linda R. Fagan Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Linda R. Fagan Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Linda R. Fagan Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0944893) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Linda R. Fagan Inc. was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.