Amie Fagan, PMHNP
NPI 1114687480ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Waterville, ME
Nurse Practitioner, Psych/Mental Health (PMHNP) with Mainegeneral Medical Center, practicing in Waterville, Maine. Their prescriptions cost Medicare Part D more than their services did: $78,177 for 1,484 claims, against $8,521 paid for services in 2024. Lists Maine General Medical Center as a hospital affiliation.
Overview
| NPI | 1114687480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Dec 28, 2021 |
| Last updated in NPPES | Dec 28, 2021 |
| Certified by provider | Dec 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | CNP211610 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 176 across 8 procedure codes |
| Paid by Medicare | $8,521 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,484 · 2,245 30-day fills |
|---|---|
| Patients | 104 |
| Total drug cost | $78,177 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Mainegeneral Medical CenterWaterville, ME · 555 clinicians
Hospital affiliation
- Maine General Medical CenterAugusta, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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