Jessica M Hage, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9106165 Issued in FL

Practice address

4200 N Armenia Ave
Suite 1-2
Tampa, FL 33607-6438

Phone

(813) 877-4811

Fax

(813) 870-2851

NPI assigned

Sep 27, 2011

Sex

Female

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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• South Tampa Dermatology PL

  dba South Tampa Dermatology

  • Specialist
  • Tampa, FL
  • NPI 1467568477
  Medicare reassignment
• Christopher G. Nelson, M.D., P.a.

  • Dermatopathology Physician
  • St Petersburg, FL
  • NPI 1407809171
  NPD (past)
• Dermatology Group of Florida, P.a.

  • Dermatology Physician
  • South Miami, FL
  • NPI 1497806459
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1649553587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE",
            "address_2": "SUITE 1-2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076438",
            "telephone_number": "813-877-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE",
            "address_2": "SUITE 1-2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076438",
            "telephone_number": "813-877-4811",
            "fax_number": "813-870-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGE",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9106165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason L Hagan, MSN APRN AGACNP-BC
• Samantha Rhea Hagan, BA
• Susan Jane Hagan, ARNP-C
• Charles Hagar, RKT
• Zachary Hagar, APRN
• Rita Hage, PSY.D.
• Erin Smith Hager, OT
• Kelly Marie Hager
• Kristina Hager, MS, IMH 10800
• Suzanne Dunn Hager, COTA

• Medical Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.