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

Elizabeth A Fagan, NURSEPRACTIONER

Individual provider Adult Health Nurse Practitioner · NPI 1275195026

Elizabeth A Fagan, NURSEPRACTIONER is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2019, 7 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1202 Medical Center Dr, Wilmington, NC 28401-7307 — (910) 343-7000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5011917 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5011917 (NC)

Record details

NPI number1275195026
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTIONER
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington