JACQUELYN ALLYSE FAGAN RD, CD, CEP
NPI 1891239471
Dietitian, Registered in Tacoma, WA
About Jacquelyn Allyse Fagan Rd, Cd, Cep NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN ALLYSE FAGAN RD, CD, CEP (NPI 1891239471) is an individual dietitian, registered in Tacoma, Washington, licensed in Washington (DI 60713040) and active in the NPI registry since December 2016. She is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jacquelyn Allyse Fagan Rd, Cd, Cep 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 4,383 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 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TACOMA, WA 98405
TACOMA, WA 98405
TACOMA, WA 98405
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 Jacquelyn Fagan's NPI number?
The NPI number for Jacquelyn Fagan is 1891239471. It was assigned to this individual provider in the NPPES registry on December 15, 2016. The provider is also known as Jacquelyn Allyse Crews.
Where is Jacquelyn Fagan located?
Jacquelyn Fagan practices at 2202 S Cedar St Suite 300, Tacoma, WA 98405. The listed phone number is (253) 301-5280.
What is Jacquelyn Fagan's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Jacquelyn Fagan enrolled in Medicare?
Yes. Jacquelyn 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 organization bills Medicare for Jacquelyn Fagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Fagan reassigns Medicare benefits to Multicare Health System (Tacoma, WA). The 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 Jacquelyn Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Fagan accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jacquelyn 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 Jacquelyn Fagan was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jacquelyn Allyse Fagan, RD, CD, CEP · NPI 1891239471
Dietitian, Registered provider in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since December 15, 2016.
## Identity
- **NPI:** 1891239471 (Entity type: Individual)
- **Enumerated:** December 15, 2016
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DI 60713040 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2202 S CEDAR ST, SUITE 300, Tacoma, WA 98405-2318
- **Phone:** (253) 301-5280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Multicare Health System (NPI 1407808413, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891239471) · Data from the CMS NPPES public registry.