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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 Prescott, AZ

Active since August 21, 2026
743 MILLER VALLEY RD, PRESCOTT, AZ 86301(928) 777-9600(855) 449-5560 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Aug 30, 2026, Aug 21, 2026 (3 updates tracked since 2026).

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 Prescott, Arizona, licensed in Arizona (259190) and active in the NPI registry since August 2026. She maintains 28 additional practice locations.

NPPES Registry Identity

NPI1417863002
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJILL FAGANCredential: PMHNP-BC
Location Address743 MILLER VALLEY RDPrescott, AZ 86301-1813
Mailing Address743 Miller Valley RdPrescott, AZ 86301-1813 · (928) 777-9600 · Fax (855) 449-5560
Phone(928) 777-9600
Fax(855) 449-5560
Sole ProprietorYes
Enumeration DateAugust 21, 2026
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 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
743 MILLER VALLEY RD, Prescott, AZ 86301
Open in Google Maps ↗

Secondary Practice Locations 28

Location 1450 S Willard StCottonwood, AZ 86326-6743 · Phone (928) 634-9573 · Fax (928) 634-0135
Location 2560 N Camino Mercado Ste 7Casa Grande, AZ 85122-5759 · Phone (520) 836-5538 · Fax (844) 722-0049
Location 3725 W Elliot Rd Bldg 3Gilbert, AZ 85233-5301 · Phone (480) 963-6144 · Fax (480) 899-1404
Location 4285 N Broad StGlobe, AZ 85501-2503 · Phone (928) 425-8200 · Fax (928) 425-8406
Location 5309 Lake Havasu Ave SLake Havasu City, AZ 86403-9309 · Phone (928) 453-1970 · Fax (928) 855-7229
Location 62035 Mesquite AveLake Havasu City, AZ 86403-5894 · Phone (928) 208-4598 · Fax (888) 571-6436
Location 73530 S Val Vista Dr Ste C101Gilbert, AZ 85297-7318 · Phone (480) 840-9155 · Fax (480) 840-9320
Location 83931 N Stockton Hill RdKingman, AZ 86409-2426 · Phone (928) 385-7100 · Fax (885) 538-3114
Location 91923 McCulloch Blvd N Ste 101Lake Havasu City, AZ 86403-6120 · Phone (928) 208-4611 · Fax (928) 453-4645
Location 103552 W Baseline Rd Ste 140Laveen, AZ 85339-3042 · Phone (602) 635-6951 · Fax (602) 635-6952
Location 119171 W Thunderbird Rd Ste 101Peoria, AZ 85381-4872 · Phone (623) 877-0100 · Fax (623) 328-8713
Location 1213926 W Bell RdSurprise, AZ 85374-3863 · Phone (623) 850-0026 · Fax (623) 850-0027
Location 132501 N Stockton Hill Rd Ste 108Kingman, AZ 86401-4140 · Phone (928) 255-5050 · Fax (888) 571-5897
Location 1424871 S Ellsworth Rd Ste 100-458Queen Creek, AZ 85142-1574 · Phone (602) 300-0898
Location 1587 S State Route 89Chino Valley, AZ 86323-5687 · Phone (928) 404-1488 · Fax (866) 232-8580
Location 1626224 N Tatum BlvdPhoenix, AZ 85050-7500 · Phone (480) 663-9632 · Fax (623) 748-1914
Location 1712075 E State Route 69 Ste BPrescott Valley, AZ 86327-4569 · Phone (928) 772-1673 · Fax (928) 772-1674
Location 183251 N Windsong DrPrescott Valley, AZ 86314-1222 · Phone (928) 772-2582 · Fax (928) 319-1729
Location 191300 S 20th AveSafford, AZ 85546-3301 · Phone (928) 428-3122 · Fax (928) 428-7917
Location 202500 Canyon Rd Ste A1Bullhead City, AZ 86442-8492 · Phone (928) 704-4499 · Fax (928) 704-4949
Location 211620 E Wilcox DrSierra Vista, AZ 85635-2778 · Phone (520) 459-0362 · Fax (520) 458-1585
Location 222171 W Orange Grove RdTucson, AZ 85741-3118 · Phone (520) 297-3907 · Fax (520) 989-3486
Location 23286 S Lenzner AveSierra Vista, AZ 85635-5685 · Phone (520) 452-0388 · Fax (877) 281-8622
Location 245902 E Pima StTucson, AZ 85712-4322 · Phone (520) 886-5315 · Fax (877) 209-7377
Location 2518275 N 59th AveGlendale, AZ 85308-1260 · Phone (602) 564-0078 · Fax (602) 564-1154
Location 2621321 E Ocotillo Rd Ste 133Queen Creek, AZ 85142-5995 · Phone (480) 987-5525 · Fax (480) 987-5115
Location 274135 S Power Rd Ste 129Mesa, AZ 85212-3627 · Phone (480) 751-3091 · Fax (480) 751-3095
Location 283336 E Chandler Heights Rd Ste 132Gilbert, AZ 85298-4264 · Phone (480) 988-4645 · Fax (480) 988-4745

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.

SCOTT ADAM GREGOROWICZ PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600
HEATHER BUTTRUM PA
Physician Assistant (Medical)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600
AMBER NUNN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600
SHANTELL SHIPP FNP-C
Nurse Practitioner (Family)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600
KAROLYN S JACKSON PA-C
Physician Assistant
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600
MORGAN WEAVER PA-C
Physician Assistant
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600
TESS BARNES N.P.
Nurse Practitioner (Family)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600
JOHN IVERSON
Physician Assistant (Medical)
743 MILLER VALLEY RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-9600

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 743 Miller Valley Rd, Prescott, AZ 86301. The listed phone number is (928) 777-9600.

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 September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.