Charles Norman Kagen, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

24388-20 Issued in WI

Practice address

100 W Lawrence St
Suite 409
Appleton, WI 54911-5773

Phone

(920) 733-5138

Fax

(920) 733-3759

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Wisconsin School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Kagen Dermatology Clinic SC

  • Specialist
  • Appleton, WI
  • NPI 1730238890
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1114015674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W LAWRENCE ST",
            "address_2": "SUITE 409",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115773",
            "telephone_number": "920-733-5138",
            "fax_number": "920-733-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAWRENCE ST",
            "address_2": "SUITE 409",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115773",
            "telephone_number": "920-733-5138",
            "fax_number": "920-733-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGEN",
        "first_name": "CHARLES",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "24388-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Marie Kadlec, P.T.
• Sarah Kate Kaeser, RN
• Danielle Kage, LPC-IT
• Kagen Allergy Clinic S.C.
• Kagen Dermatology Clinic SC
• Steven L Kagen, M.D.
• Becky L Kahler, CNM
• Sheila Kain
• Kaldas Center for Fertility Surgery & Pregnancy S.C.
• Rami S. Kaldas, M.D.

• Dermatology Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.