Organization Active NPI

Hagan & Associates, LLC

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1386715571
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
74122 Issued in KS
Legal business name
HAGAN & ASSOCIATES, LLC
Practice address
1431 Bluffview St
Suite 108
Wichita, KS 67218-3039
Phone
(316) 219-3571
NPI assigned
Nov 11, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Emile A. Hagan, ARNP
Title
Owner
Phone
(316) 219-3571

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20041105000947 KS Part B Supplier - Clinic/Group Practice 8325001886 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Center, KS

National Provider Directory

National Provider Directory

Locations

524 N Main St
Garden Plain, KS 67050
Phone (316) 300-1771

219 S Pne Ste 302
Newton, KS 67114

700 E 14th St
Newton, KS 67114
Phone (316) 283-5170

400 E School St
Rose Hill, KS 67133
Phone (316) 260-7046

323 S Hydraulic St
Wichita, KS 67211

1900 N Amidon Ave
Wichita, KS 67203
Phone (316) 274-9925

5112 E 36th St N
Ste 100
Wichita, KS 67220
Phone 3166512585113

1431 S Bluffview Dr
Ste 108
Wichita, KS 67218

331 S Hydraulic St
Wichita, KS 67211

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 74122 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

1431 Bluffview St
Suite 108
Wichita, KS 67218-3039

Mailing address

7329 N Woodlawn St
Valley Center, KS 67147-8560
Phone (316) 219-3571

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
110580OtherKSBC BS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2007.

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1386715571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 N WOODLAWN ST",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671478560",
            "telephone_number": "316-219-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 BLUFFVIEW ST",
            "address_2": "SUITE 108",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-219-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGAN & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "EMILE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-219-3571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "74122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "110580",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.