KATERINA FAGAN (ACNPC-AG) – Acute Care Nurse Practitioner, NPI 1356911671
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KATERINA FAGAN (ACNPC-AG)
320 RACETRACK RD NW STE 100C
FORT WALTON BEACH, FL 325471796
Phone: (850) 863-0883
Type: Mailing
7700 FLOYD CURL DR
SAN ANTONIO, TX 782293902
Phone: (210) 575-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,797.
Total Amount is formed as General ($1,797) + Research ($0) + Ownership ($0) = $1,797.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Medtronic, Inc. ($1,659).
Total Amount
$1,797
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,797
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,659 |
| Boston Scientific Corporation | $96 |
| Progenics Pharmaceuticals, Inc. | $24 |
| Endo USA, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240419003012 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | CT | |
| General Surgery | AR | |
| U R O L O G Y | CA | |
| General Surgery | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MS | |
| G A S T R O E N T E R O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL |
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