Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JILL FAGAN PMHNP-BC
NPI 1417863002
Nurse Practitioner - Psychiatric/Mental Health in Queen Creek, AZ

Q: What is Jill Fagan's NPI number?

The NPI number for Jill Fagan is 1417863002. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Q: What is Jill Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jill Fagan was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 August 21, 2026

24871 S ELLSWORTH RD STE 100-458, QUEEN CREEK, AZ 85142(602) 300-0898 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jill Fagan Pmhnp-bc NPPES

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

JILL FAGAN PMHNP-BC (NPI 1417863002) is an individual psychiatric/mental health provider in Queen Creek, Arizona, licensed in Arizona (259190) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1417863002

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJILL FAGANCredential: PMHNP-BC

Location Address24871 S ELLSWORTH RD STE 100-458Queen Creek, AZ 85142-1574

Mailing Address24871 S Ellsworth Rd Ste 100-458Queen Creek, AZ 85142-1574 · (602) 300-0898

Phone(602) 300-0898

Sole ProprietorYes

Enumeration DateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1417863002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 259190

24871 S ELLSWORTH RD STE 100-458, Queen Creek, AZ 85142

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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 Jill Fagan's NPI number?

The NPI number for Jill Fagan is 1417863002. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Jill Fagan located?

Jill Fagan practices at 24871 S Ellsworth Rd Ste 100-458, Queen Creek, AZ 85142. The listed phone number is (602) 300-0898.

What is Jill Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jill Fagan was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.