Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Misty Lynn Pagan, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1184119844

Dr. Misty Lynn Pagan, NURSEPRACTITIONER is a Nurse Practitioner in Lake Havasu City, Arizona. Qualified in 2018, 8 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

1980 Mesquite Ave
Lake Havasu City, AZ 86403-7713
Phone: (928) 392-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1940 Mesquite Ave, Lake Havasu City, AZ 86403-6123 — (928) 459-3512

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP10023 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP10023 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP10023 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP10023 (AZ)

Record details

NPI number1184119844
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Havasu City