MARIAH FAGAN
NPI 1396543005
Physician Assistant in Washington, DC

Active since March 06, 2025PECOS EnrolledAccepts Medicare Assignment
1200 PECAN ST SE, WASHINGTON, DC 20032(771) 444-6200 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mariah Fagan NPPES

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

MARIAH FAGAN (NPI 1396543005) is an individual physician assistant in Washington, District Of Columbia and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396543005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAH FAGAN
Location Address1200 PECAN ST SEWashington, DC 20032-2652
Mailing Address2300 I St NwWashington, DC 20052-0011 · (810) 444-8832
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2025
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1396543005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1200 PECAN ST SE, Washington, DC 20032

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

Mariah Fagan 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 ID9234627100
PECOS Enrollment IDI20251022003327
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 20032 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1200 PECAN ST SE
WASHINGTON, DC 20032
Physician Assistant
1200 PECAN ST SE
WASHINGTON, DC 20032
Psychiatry & Neurology (Epilepsy)
1200 PECAN ST SE
WASHINGTON, DC 20032
Surgery
1200 PECAN ST SE
WASHINGTON, DC 20032
Internal Medicine (Critical Care Medicine)
1200 PECAN ST SE
WASHINGTON, DC 20032
Anesthesiologist Assistant
1200 PECAN ST SE
WASHINGTON, DC 20032
Physician Assistant
1200 PECAN ST SE
WASHINGTON, DC 20032
General Acute Care Hospital
1200 PECAN ST SE
WASHINGTON, DC 20032

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 Mariah Fagan's NPI number?

The NPI number for Mariah Fagan is 1396543005. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Mariah Fagan located?

Mariah Fagan practices at 1200 Pecan St SE, Washington, DC 20032. The listed phone number is (771) 444-6200.

What is Mariah Fagan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mariah Fagan enrolled in Medicare?

Yes. Mariah Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mariah Fagan was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.