KAREN FAGAN (APN) – Family Nurse Practitioner, NPI 1114463502
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for KAREN FAGAN (APN)
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 463603564
Phone: (219) 872-6200
Fax: (219) 879-2915
Type: Mailing
200 ALFRED ST
MICHIGAN CITY, IN 46360
Phone: (815) 773-7827
Type: Location
1701, Highland Avenue, Lidice, Crest Hill, Will County, Illinois, 60403, United States
CREST HILL, IL 604032423
Phone:
Type: Mailing
Weber Road, Romeoville, Will County, Illinois, 60403, United States
ROMEOVILLE, IL 60544
Phone: (815) 773-7827
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$90
General + Research + Ownership
Payments
4
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $58 |
| Gilead Sciences, Inc. | $17 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2021-08-06
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 |
|---|---|---|---|---|
| I20210806000257 | I | Nurse Practitioner | IN | 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 46360)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| O P T O M E T R Y | IN | |
| Orthopedic Surgery | IL | |
| U R O L O G Y | MI | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IL | |
| Hospitalist, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery, Hand Surgery | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.