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

Mary Fagan

Individual provider General Practice Physician · NPI 1801588777

Mary Fagan is a Nurse Practitioner in West Chester, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Clinical Care Associates of the University of Pennsylvania Health, a 593-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1055 Andrew Dr Ste B
West Chester, PA 19380-3446
Phone: (610) 436-4448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SPO27461 (PA)
General Practice Physician Taxonomy 208D00000X · Licence SPO27461 (PA)

Record details

NPI number1801588777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Clinical Care Associates Of The University Of Pennsylvania Health. — 593 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Chester