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

Mariah Fagan

Individual provider Physician Assistant · NPI 1396543005

Mariah Fagan is a Physician Assistant in Washington, District of Columbia. Qualified in 2025, 1 year ago. Practices with Medical Faculty Associates, Inc, a 684-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

1200 Pecan St SE
Washington, DC 20032-2652
Phone: (771) 444-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1396543005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Medical Faculty Associates, Inc — 684 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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