LORI ANN FAGAN
NPI 1659418093
Dietitian, Registered in Land O Lakes, FL

Q: What is Lori Fagan's NPI number?

The NPI number for Lori Fagan is 1659418093. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Lori Fagan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Fagan was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 February 01, 2007Accepts Medicare Assignment

10475 BANYAN BREEZE BLVD, LAND O LAKES, FL 34638(304) 598-1560(304) 322-0601 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Lori Ann Fagan NPPES

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

LORI ANN FAGAN (NPI 1659418093) is an individual dietitian, registered in Land O Lakes, Florida, licensed in West Virginia (486) and active in the NPI registry since February 2007. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1659418093

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLORI ANN FAGAN

Location Address10475 BANYAN BREEZE BLVDLand O Lakes, FL 34638-5720

Mailing Address10475 Banyan Breeze BlvdLand O Lakes, FL 34638-5720 · (304) 598-1560 · Fax (304) 322-0601

Phone(304) 598-1560

Fax(304) 322-0601

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJanuary 6, 2026

NPPES CertifiedJanuary 6, 2026

✔ NPI 1659418093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WV · 486

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

10475 BANYAN BREEZE BLVD, Land O Lakes, FL 34638

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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 and accepts Medicare assignment

Lori Ann 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 ID9739075227

PECOS Enrollment IDI20260204002957

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34638 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

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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 Lori Fagan's NPI number?

The NPI number for Lori Fagan is 1659418093. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Lori Fagan located?

Lori Fagan practices at 10475 Banyan Breeze Blvd, Land O Lakes, FL 34638. The listed phone number is (304) 598-1560.

What is Lori Fagan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lori Fagan enrolled in Medicare?

Yes. Lori 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 Lori Fagan was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.