Kathleen Dora Hagan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

222 Tongass Dr
Sitka, AK 99835-9416

Phone

(907) 966-2411

NPI assigned

Jun 15, 2020

Last updated

Jun 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katieh@direct-searhc.org

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

• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment Care Compare group
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Mt. Edgecumbe Medical Center

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD
• Southeast Alaska Regional Health Constortium

  dba Searhc Physical Rehabilitation Clinic-Juneau

  • Physical Therapy Clinic/Center
  • Juneau, AK
  • NPI 1154050490
  NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1093330052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KATLIAN ST STE E",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357359",
            "telephone_number": "907-966-8761",
            "fax_number": "907-747-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TONGASS DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359416",
            "telephone_number": "907-966-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 S Chipeta Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081260",
            "country_code": "US",
            "telephone_number": "801-581-7766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Cascade St",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998357140",
            "country_code": "US",
            "telephone_number": "907-738-0698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "KATHLEEN",
        "middle_name": "DORA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami Kay Guinn-Osborne, LPC
• Caribeth Gundran
• Rosario Cawed Gutierrez, RN
• Tina M Guy, CPOT
• Lydia D Hack, LMFT
• Mary Lois Hailstone, R.N
• Rebecca T Hakimain, RN
• Teresa Hall, RN
• Trever Hammack
• Cheryl Hample

• Physician Assistant in Sitka, AK
• Providers in Sitka, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.