Individual provider Active NPI

Katie Hagan, NP

  • Nurse Practitioner
  • Providence, KY
National Provider Identifier
1730946252
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4016642 Issued in KY
Practice address
215 E Main St
Providence, KY 42450-1261
Phone
(270) 285-1318
NPI assigned
Mar 1, 2024
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4016642 KY Primary

Addresses

Primary practice location

215 E Main St
Providence, KY 42450-1261

Mailing address

PO Box 632111
Cincinnati, OH 45263-2111

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240622000488 KY Practitioner - Nurse Practitioner 9537601901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4016642KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince May 13, 2024 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince May 6, 2024 Accepting new patients
Regional Health Care Affiliates, Inc. Current Accepting new patients
Regional Health Care Affiliates, Inc. CurrentSince Jul 9, 2025 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Jul 9, 2025 Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince May 6, 2024 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

4099 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2720

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

215 E Main St
#215
Providence, KY 42450

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1730946252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632111",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-285-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "KATIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4016642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, KY

Sources for this page

Verify at the official NPI Registry.