Misty Lynn Pagan, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP10023 Issued in AZ

Practice address

1980 Mesquite Ave
Lake Havasu City, AZ 86403-7713

Phone

(928) 392-3691

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in AZ, CA, FL, VA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: misty.pagan.1@29601.direct.athenahealth.com
• Direct secure messaging: misty.pagan.2@29601.direct.athenahealth.com
• Direct secure messaging: misty.pagan.3@29601.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Curana Health of Arizona

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1467187237
  Medicare reassignment NPD
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment NPD
• Curana Health of California PC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1790525186
  Medicare reassignment NPD
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1104228337
  Medicare reassignment
• Centerwell Senior Primary Care FL Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487686705
  Medicare reassignment
• Centerwell Senior Primary Care VA CS PC

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1518752054
  Medicare reassignment
• CH Specialty Services Ca PC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1730888041
  Medicare reassignment
• Centerwell Senior Primary Care Az CS PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1255167417
  NPD
• Centerwell Senior Primary Care Az CS PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1326991720
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1184669418
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Saint Cloud, FL
  • NPI 1831083187
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1184119844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864037713",
            "telephone_number": "928-392-3691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Mesquite Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864036123",
            "country_code": "US",
            "telephone_number": "928-459-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "MISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10023",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP10023",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP10023",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP10023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "misty.pagan.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7525 Tidewater Dr Ste 19",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235053700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "misty.pagan.3@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "941 N 14th St",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347483838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "misty.pagan.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9515 W Camelback Rd Ste 136&138",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850371355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramon R Orduno Jr., CRNA
• Kaitlyn April Ornelas
• William S Orr, D.C.
• Eugenia Osbon
• Vic S Oyas, M.D.
• Elizabeth Rorie Page, PT
• Donna Pakula, LAB DIRECTOR
• Pamela Reband MD PC
• Panacea Brain and Spine, LLC
• Panacea Brain and Spine, LLC

• Primary Care Nurse Practitioner in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.