Karl John Hager Jr., NP
Individual provider Active NPI Acute Care Nurse Practitioner · Ekalaka, MT
NPI 1710240916 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1710240916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- NUR-APRN-LIC-174678 (MT)
- Practice address
- PO Box 46
Ekalaka, MT 59324-0046 - Phone
- (406) 775-8730
- Fax
- (406) 775-6479
- NPI assigned
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dahl Memorial Healthcare Association Inc
Practice addresses (Care Compare)
106 E Park St
Ekalaka, MT 59324-7701
Phone (406) 775-8730
Hospital & facility affiliations
- Dahl Memorial Healthcare Association Inc
- Fallon Medical Complex Hospital
- Dahl Memorial Healthcare Association Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MS, KY, MT, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120717000258 | MS | Practitioner - Nurse Practitioner | 3779749940 | Reassigns benefits to 2 organizations |
| I20191015000481 | KY | Practitioner - Nurse Practitioner | 3779749940 | Reassigns benefits to 4 organizations |
| I20221109003223 | MT | Practitioner - Nurse Practitioner | 3779749940 | Reassigns benefits to 1 organization |
| I20230214000741 | WV | Practitioner - Nurse Practitioner | 3779749940 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013514 | KY | MD | Nurse Practitioner |
| NUR-APRN-LIC-174678 | MT | MD | Acute Care Nurse Practitioner |
| R870265 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services P C | Nurse Practitioner | Current |
Accepting new patients |
| Webster Health Services, Inc. | Current |
Accepting new patients | |
| Dahl Memorial Healthcare Association Inc | Current |
Accepting new patients | |
| Webster Health Services, Inc. | Current |
Accepting new patients | |
| Dahl Memorial Healthcare Association Inc | Current |
Accepting new patients | |
| Middlesborough Emergency Physicians LLC | Nurse Practitioner | Current |
Accepting new patients |
| App of Mississippi Ed, LLC | Current |
Accepting new patients | |
| Beaver Creek Emergency Group LLC | Nurse Practitioner | Current |
Accepting new patients |
| Southern Medical Partners, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Hyden Emergency Physicians, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Beckley Emergency Physicians LLC | Nurse Practitioner | Current |
Accepting new patients |
| Stone County Hospital, Inc | Past | Accepting new patients |
Locations
55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351
130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
11203 Main St
Martin, KY 41649
Phone (606) 285-5181
3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700
240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000
70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3013514 | KY | |
| Nurse Practitioner | 363L00000X | NUR-APRN-LIC-174678 | MT | |
| Acute Care Nurse Practitioner | 363LA2100X | R870265 | MS | |
| Family Nurse Practitioner | 363LF0000X | R870265 | MS | |
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-174678 | MT | |
| Acute Care Nurse Practitioner | 363LA2100X | NUR-APRN-LIC-174678 | MT | Yes |
Addresses
Primary practice location
PO Box 46
Ekalaka, MT 59324-0046
Mailing address
2 Springside CT
Hattiesburg, MS 39402-7053
Phone (601) 270-9568
Other practice location 1
350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 824-8500
Other providers in Ekalaka, MT
- Dahl Memorial Healthcare Association Inc
- Dahl Memorial Healthcare Association Inc
- Dahl Memorial Healthcare Association Inc
- Dahl Memorial Healthcare Association Inc
- Carla Dowdy
- Caitlyn Hambright
- Alexandra Renee Lovec
- Michelle Mehling
- Darrell Keith Messersmith
- Jessica Elaine Powers
All providers in Ekalaka, MT · Acute Care Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.