Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Daniel Fagan, PA-C

Individual provider Physician Assistant · NPI 1538418934

Jason Daniel Fagan, PA-C is a Physician Assistant in Winter Park, Florida. Qualified in 2012, 14 years ago. Practices with Florida Pain and Rehabilitation Associates Inc, a 71-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1693 Lee Rd Ste B
Winter Park, FL 32789-2260
Phone: (407) 622-5766
Fax: (407) 622-5767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113844 (FL)

Record details

NPI number1538418934
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2012
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Florida Pain And Rehabilitation Associates Inc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Winter Park