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ALICE LORRAINE FAGAN APRN
NPI 1255947974
Nurse Practitioner - Family in West Columbia, SC

Active since September 17, 2020PECOS Enrolled
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169(800) 491-0909 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Nov 24, 2020, Sep 17, 2020 (3 updates tracked since 2020).

About Alice Lorraine Fagan Aprn NPPES

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

ALICE LORRAINE FAGAN APRN (NPI 1255947974) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (24467) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255947974
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICE LORRAINE FAGANCredential: APRN
Location Address1053 CENTER STREET, SC HOUSE CALLS INCWest Columbia, SC 29169
Mailing Address1053 Center Street, Sc House Calls IncWest Columbia, SC 29169 · (800) 491-0909
Phone(800) 491-0909
Sole ProprietorNo
Enumeration DateSeptember 17, 2020
Last NPPES UpdateNovember 30, 20203 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1255947974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 24467
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AG03200068 (NC)
1053 CENTER STREET, West Columbia, SC 29169
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Lorraine 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 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

LOUIS BUSSELLS APRN
Nurse Practitioner (Family)
1053 CENTER STREET, SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909
ANGELA PAULETTE DIEMONT APRN
Nurse Practitioner (Family)
1053 CENTER STREET, SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909
MRS. ODYNE ROSE LACOSSIERE-DORVILUS APRN
Nurse Practitioner (Family)
1053 CENTER STREET, SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909
HILLERY DOLFORD APRN
Nurse Practitioner (Family)
1053 CENTER STREET, SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909
VERLISHA D. GOINS APRN
Nurse Practitioner (Family)
1053 CENTER STREET
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909
TASHA M MOORE APRN
Nurse Practitioner
1053 CENTER STREET, SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909
KIMBERLY JUNE OLIGER APRN
Nurse Practitioner (Family)
1053 CENTER STREET, SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909
MS. CHANTAL PILAR DEBRECENY APRN
Nurse Practitioner (Adult Health)
1053 CENTER STREET, SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Lexington County (800) 491-0909

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 Alice Fagan's NPI number?

The NPI number for Alice Fagan is 1255947974. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Alice Fagan located?

Alice Fagan practices at 1053 Center Street Sc House Calls Inc, West Columbia, SC 29169. The listed phone number is (800) 491-0909.

What is Alice Fagan's specialty?

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

Is Alice Fagan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alice Fagan was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.