LORI ANN FAGAN – Registered Dietitian, NPI 1659418093
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in FL
Provider Addresses for LORI ANN FAGAN
10475 BANYAN BREEZE BLVD
LAND O LAKES, FL 346385720
Phone: (304) 598-1560
Fax: (304) 322-0601
Type: Mailing
1200, J D Anderson Drive, Morgantown, Monongalia County, West Virginia, 26505, United States
MORGANTOWN, WV 265053494
Phone: (304) 598-1560
Fax: (304) 598-1699
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040223000814 | I | Registered Dietitian Or Nutrition Professional | WV | TBD |
| I20260204002957 | I | Registered Dietitian Or Nutrition Professional | 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 34638)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | FL | |
| Registered Dietitian Or Nutrition Professional | PR | |
| Registered Dietitian Or Nutrition Professional | FL |
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