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

Kaitlin Marie Fagan, NP

Individual provider Family Nurse Practitioner · NPI 1396501391

Kaitlin Marie Fagan, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices with Minuteclinic Diagnostic of North Carolina PC, a 207-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4100 Carmel Rd
Charlotte, NC 28226-6150
Phone: (704) 542-9210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5019669 (NC)

Record details

NPI number1396501391
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minuteclinic Diagnostic Of North Carolina Pc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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