Mrs Devona L Fagan, NP - Medicare Nurse Practitioner in Boulder City, NV

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Mrs Devona L Fagan, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Boulder City, Nevada. Her current practice location is 895 Adams Blvd, Boulder City, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 293-0406.

Mrs Devona L Fagan is licensed to practice in California (license number 17793) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013167402.

Contact Information

Mrs Devona L Fagan, NP
895 Adams Blvd,
Boulder City, NV 89005-2235
(702) 293-0406
(702) 293-0192

Map and Direction




Provider's Profile

Full NameMrs Devona L Fagan
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location895 Adams Blvd, Boulder City, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013167402
  • Provider Enumeration Date: 09/23/2008
  • Last Update Date: 06/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426110693
  • Enrollment ID: I20131115000428

Medical Identifiers

Medical identifiers for Mrs Devona L Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013167402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency NP17793 (California)Secondary
363LA2100XNurse Practitioner - Acute Care 17793 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Devona L Fagan allows following entities to bill medicare on her behalf.
Entity NameJim C Chiang Md Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710161518
PECOS PAC ID: 9931128378
Enrollment ID: O20051115000972

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Devona L Fagan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Devona L Fagan, NP
895 Adams Blvd,
Boulder City, NV 89005-2235

Ph: (702) 293-0406		Mrs Devona L Fagan, NP
895 Adams Blvd,
Boulder City, NV 89005-2235

Ph: (702) 293-0406

Reviews and Comments


Nurse Practitioner Nurses in Boulder City, NV

Angelique J. Cross, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 999 Adams Blvd Ste 104-105, Boulder City, NV 89005
Phone: 702-698-8342    
Felicia Nicole Tracy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 668 Otono Dr, Boulder City, NV 89005
Phone: 951-401-7481    
Maureen Blomquist, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 999 Adams Blvd Ste 104-105, Boulder City, NV 89005
Phone: 702-698-8342    Fax: 702-293-2807
Regina Ann Evans,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1252 Wyoming St Ste 200, Boulder City, NV 89005
Phone: 702-293-4488    Fax: 702-293-4487
Casey Elizabeth Bunker, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 895 Adams Blvd, Boulder City, NV 89005
Phone: 702-293-0406    Fax: 702-293-0192
Allison Palmer, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 901 Adams Blvd, Boulder City, NV 89005
Phone: 801-815-1451    
Jose M Moran, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1252 Wyoming St, Boulder City, NV 89005
Phone: 702-293-4488    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.