Individual provider Active NPI

Miguel A. Pagan, PA-C

  • Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1609839976
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2325 Issued in FL
Practice address
632 Del Prado Blvd N
Cape Coral, FL 33909-2278
Phone
(239) 343-3800
Fax
(239) 343-4261
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2325 FL
Physician Assistant 363A00000X PA2325 FL Primary

Addresses

Primary practice location

632 Del Prado Blvd N
Cape Coral, FL 33909-2278

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3800

Other practice location 1

6101 Pine Ridge Rd Ste 101
Naples, FL 34119-3900
Phone (239) 649-1662 ext. 4016

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100412000064 FL Practitioner - Physician Assistant 9032245576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

632 Del Prado Blvd N
Suite 1
Cape Coral, FL 33909-2278
Phone (239) 772-5577

Hospital & facility affiliations

  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2325FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Jan 28, 2010 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Jan 28, 2010 Accepting new patients
Lee Memorial Health System CurrentSince Oct 2, 2023 Accepting new patients
Lee Memorial Health System CurrentSince Oct 2, 2023 Accepting new patients
Sypert Institute PA Past Accepting new patients
Sypert Institute PA Past Accepting new patients
Neuroscience and Spine Associates PL Physician Assistant Past Accepting new patients

Locations

632 Del Prado Blvd N
Ste 101
Cape Coral, FL 33909
Phone (239) 772-5577

632 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 343-3800

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

12700 Creekside Ln
Ste 101
Fort Myers, FL 33919
Phone (239) 432-0774

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

6101 Pine Ridge Rd
Ste 101
Naples, FL 34119
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

6101 Pine Ridge Rd
#2324
Naples, FL 34119
Phone (239) 649-1662

6101 Pine Ridge Rd
#10
Naples, FL 34119
Phone (239) 649-1662

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: miguelpagan@nsapl.allscriptsdirect.net
  • Direct secure messaging: mpagan346307@direct.leememorial.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1609839976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092278",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 Pine Ridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341193900",
            "country_code": "US",
            "telephone_number": "239-649-1662 x4016",
            "fax_number": "877-334-1886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "MIGUEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2325",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.