Katerina Fagan, ACNPC-AG - Medicare Nurse Practitioner in Crestview, FL

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Katerina Fagan, ACNPC-AG is a medicare enrolled "Urology" physician in Crestview, Florida. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Okaloosa Clinic Corp and her current practice location is 435 Brookmeade Dr, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 605-0550.

Katerina Fagan is licensed to practice in Florida (license number 11031708) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356911671.

Contact Information

Katerina Fagan, ACNPC-AG
435 Brookmeade Dr,
Crestview, FL 32539-7304
(850) 605-0550
(850) 605-0440

Map and Direction




Physician's Profile

Full NameKaterina Fagan
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location435 Brookmeade Dr, Crestview, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katerina Fagan graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1356911671
  • Provider Enumeration Date: 06/29/2021
  • Last Update Date: 05/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4486093648
  • Enrollment ID: I20240419003012

Medical Identifiers

Medical identifiers for Katerina Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356911671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 11031708 (Florida)Primary
363LA2100XNurse Practitioner - Acute Care APRN11031708 (Florida)Secondary
363LA2100XNurse Practitioner - Acute Care 1046195 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Okaloosa Medical CenterCrestview, FLHospital
Fort Walton Beach Medical CenterFort walton beach, FLHospital
Twin Cities HospitalNiceville, FLHospital
Baptist HospitalPensacola, FLHospital
Sacred Heart Hospital On The Emerald CoastMiramar beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Okaloosa Clinic Corp024420556524

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. Katerina Fagan allows following entities to bill medicare on her behalf.
Entity NameNorthwest Florida Multispecialty Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790912269
PECOS PAC ID: 5597801779
Enrollment ID: O20090930000747

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. Katerina 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
Katerina Fagan, ACNPC-AG
Po Box 1027,
Niceville, FL 32588-1027

Ph: (850) 605-0550		Katerina Fagan, ACNPC-AG
435 Brookmeade Dr,
Crestview, FL 32539-7304

Ph: (850) 605-0550

Reviews and Comments


Urology Doctors in Crestview, FL

Dr. Joseph William Pugh, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 435 Brookmeade Dr, Crestview, FL 32539
Phone: 850-605-0550    Fax: 850-605-0440
Dr. Timothy Alan Moses, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 550 Redstone Ave W Ste 370, Crestview, FL 32536
Phone: 850-423-9976    Fax: 850-306-3767

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.