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

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: October 18, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Lori Fagan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dietitian, Registered
34921 US HIGHWAY 19 N STE 340
Palm Harbor, FL 34684
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
Physical Therapist
943 MAPLE DR
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Lori Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Fagan reassigns Medicare benefits to 2 organizations: The Dietitians Group Of West Florida, Inc. (Palm Harbor, FL) and Morgantown Physical Therapy Associates, Inc. (Morgantown, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Fagan accept?

Health plans from Oscar Health Maintenance Organization of Florida list Lori Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 9 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.