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MRS. ELLEN CATHERINE FAGAN-PRYOR MSN, PMHCNS, RN
NPI 1508961236
Registered Nurse - Psychiatric/Mental Health, Adult in Fort Wayne, IN

Active since September 14, 2006PECOS Enrolled
2121 LAKE AVENE, FORT WAYNE, IN 46805(260) 445-2123 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Ellen Catherine Fagan-pryor Msn, Pmhcns, Rn NPPES

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

MRS. ELLEN CATHERINE FAGAN-PRYOR MSN, PMHCNS, RN (NPI 1508961236) is an individual psychiatric/mental health, adult provider in Fort Wayne, Indiana, licensed in Indiana (28101257A) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508961236
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameMRS. ELLEN CATHERINE FAGAN-PRYORCredential: MSN, PMHCNS, RN
Location Address2121 LAKE AVENEFort Wayne, IN 46805-5100
Mailing Address8818 Hoffman RdFort Wayne, IN 46816-9595 · (260) 639-6767
Phone(260) 445-2123
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMarch 27, 2013
✔ NPI 1508961236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in IN · 28101257A
2121 LAKE AVENE, Fort Wayne, IN 46805
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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)

Mrs. Ellen Catherine Fagan-pryor Msn, Pmhcns, Rn 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.

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 Ellen Fagan-pryor's NPI number?

The NPI number for Ellen Fagan-pryor is 1508961236. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Ellen Fagan-pryor located?

Ellen Fagan-pryor practices at 2121 Lake Avene, Fort Wayne, IN 46805. The listed phone number is (260) 445-2123.

What is Ellen Fagan-pryor's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Ellen Fagan-pryor enrolled in Medicare?

Yes. Ellen Fagan-pryor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Fagan-pryor was last updated on March 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.