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MS. STACY LOUISE FAGAN P.A.
NPI 1841444098
Physician Assistant - Medical in Oklahoma City, OK

Active since November 13, 2008PECOS EnrolledAccepts Medicare Assignment
2512 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107(405) 605-5415(405) 605-5310 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Stacy Louise Fagan P.a. NPPES

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

MS. STACY LOUISE FAGAN P.A. (NPI 1841444098) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1779) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Guthrie, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1841444098
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. STACY LOUISE FAGANCredential: P.A.
Location Address2512 N MERIDIAN AVEOklahoma City, OK 73107-1035
Mailing Address2512 N Meridian AveOklahoma City, OK 73107-1035 · (405) 605-5415
Phone(405) 605-5415
Fax(405) 605-5310
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 13, 2008
Last NPPES UpdateFebruary 9, 2011
✔ NPI 1841444098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 1779
2512 N MERIDIAN AVE, Oklahoma City, OK 73107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

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

Ms. Stacy Louise Fagan P.a. 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 ID7517009749
PECOS Enrollment IDI20100126000347
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Guthrie

Critical Access Hospitals · Guthrie, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371317
Location200 S Academy RdGuthrie, OK 73044 · Logan County
Emergency services

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KEHDINGA NUKUNA
Nurse Practitioner (Family)
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 605-5415
WINDSOR PARK MEDICAL CLINIC
Physician Assistant
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 605-5415
WINDSOR PARK MEDICAL CLINIC
Family Medicine
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 605-5415
WINDSOR PARK MEDICAL CLINIC, LLC
Family Medicine
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 605-5415
JILL WHITNEY FROST PA-C
Physician Assistant
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 605-5415

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 Stacy Fagan's NPI number?

The NPI number for Stacy Fagan is 1841444098. It was assigned to this individual provider in the NPPES registry on November 13, 2008.

Where is Stacy Fagan located?

Stacy Fagan practices at 2512 N Meridian Ave, Oklahoma City, OK 73107. The listed phone number is (405) 605-5415.

What is Stacy Fagan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacy Fagan enrolled in Medicare?

Yes. Stacy 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.

What insurance does Stacy Fagan accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Stacy 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.

Is Stacy Fagan affiliated with any hospitals?

According to CMS data, Stacy Fagan is affiliated with Mercy Hospital Guthrie.

When was this NPI record last updated?

The NPPES record for Stacy Fagan was last updated on February 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.