Active NPI
Jason Daniel Fagan, PA-C
- Physician Assistant
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113844
- Practice address
- 1693 Lee Rd Ste B
Winter Park, FL 32789-2260 - Phone
- (407) 622-5766
- Fax
- (407) 622-5767
- NPI assigned
- Aug 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113844 | FL | Primary |
Addresses
Primary practice location
1693 Lee Rd Ste B
Winter Park, FL 32789-2260
Mailing address
1693 Lee Rd Ste B
Winter Park, FL 32789-2260
Phone (407) 622-5766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000
1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766
5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300
5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.19 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Institute Inc | Past | Accepting new patients | |
| Hughston Orthopaedic Southeast PC | Past | Accepting new patients |
Locations
978 International Pkwy
Ste 1440
Lake Mary, FL 32746
Phone (407) 391-3131
451 S Milwee St
Longwood, FL 32750
Phone (407) 622-7246
451 S Milwee St
Ste 1010
Longwood, FL 32750
Phone (321) 424-6950
1530 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 565-9280
1530 Citrus Medical Ct
Ste 101
Ocoee, FL 34761
Phone (321) 320-8790
5948 Turkey Lake Rd
Orlando, FL 32819
Phone (407) 228-8080
1170 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 281-9105
1170 S Semoran Blvd
Orlando, FL 32807
Phone (407) 622-7246
150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000
1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jfagan@nationalspine.emadirect.md
Organizations & group practices 6
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.
-
- Interventional Pain Medicine Physician
- Delray Beach, FL
- NPI 1902064876
-
- Pain Medicine (Anesthesiology) Physician
- Davenport, FL
- NPI 1942520333
-
- Specialist
- Delray Beach, FL
- NPI 1053363457
-
- Specialist
- Fort Lauderdale, FL
- NPI 1598347726
-
- Interventional Pain Medicine Physician
- Delray Beach, FL
- NPI 1356345060
-
- Durable Medical Equipment & Medical Supplies
- Deland, FL
- NPI 1659068377
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1538418934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1693 LEE RD STE B",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892260",
"telephone_number": "407-622-5766",
"fax_number": "407-622-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1693 LEE RD STE B",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892260",
"telephone_number": "407-622-5766",
"fax_number": "407-622-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGAN",
"first_name": "JASON",
"middle_name": "DANIEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-31",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.