Active NPI
Hagan & Associates, LLC
- Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 74122
- 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.
-
- Clinical Nurse Specialist
- Wichita, KS
- NPI 1801874839
-
- Family Medicine Physician
- Wichita, KS
- NPI 1043277999
-
- Adult Health Nurse Practitioner
- Wichita, KS
- NPI 1871504076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 74122 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110580 | Other | KS | BC 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.