Active NPI
Regg A Hagge, MD
- Family Medicine Physician
- Kemmerer, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5642
- Practice address
- 711 Onyx St
Kemmerer, WY 83101-3214 - Phone
- (307) 877-4496
- Fax
- (307) 877-9769
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11278A | WY | |
| Family Medicine Physician | 207Q00000X | 5642 | SD | Primary |
Addresses
Primary practice location
711 Onyx St
Kemmerer, WY 83101-3214
Mailing address
711 Onyx St
Kemmerer, WY 83101-3214
Phone (307) 877-4496
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5607445 | Medicaid | SD | |
| 5607446 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050829000465 | SD | Practitioner - Family Practice | 3375444508 | Reassigns benefits to 5 organizations |
| I20180626001331 | WY | Practitioner - Family Practice | 3375444508 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5642 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weston County Hospital District | Current | Accepting new patients | |
| Family Medical Center | Current | Accepting new patients | |
| Madison Community Hospital | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Niobrara County Hospital District | Current | Accepting new patients | |
| Weston County Hospital District | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Madison Community Hospital | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Philip Health Services, Inc. | Family Medicine | Current | Accepting new patients |
| Philip Health Services, Inc. | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Johnson County Memorial Hospital | Current | Accepting new patients | |
| Johnson County Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Box Butte General Hospital | Past | Accepting new patients | |
| Box Butte General Hospital | Past | Accepting new patients | |
| Philip Clinic | Past | Accepting new patients | |
| Mobridge Regional Hospital | Family Medicine | Past | Accepting new patients |
| Platte Community Memorial Hospital, Inc. | Family Medicine | Past | Accepting new patients |
| Chadron Medical Clinic PC | Family Medicine | Past | Accepting new patients |
Locations
708 8th St
Armour, SD 57313
Phone (605) 724-2159
323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551
301 Flynn Dr
Milbank, SD 57252
Phone (605) 432-4587
1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692
503 W Pine St
Philip, SD 57567
Phone (605) 859-2511
497 W Lott St
Buffalo, WY 82834
Phone (307) 684-2228
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
1121 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3582
1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715
201 14th St
Wheatland, WY 82201
Phone (307) 322-3636
Interoperability endpoints
- rhagge@direct.mhccwyo.org
- regg.hagge@avera.sdhealthlink.net
- regghagge@fmcjc.allscriptsdirect.net
- https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/
Organizations & group practices 30
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Rural Health Clinic/Center
- Philip, SD
- NPI 1700838117
Family Medicine, SD
-
- Rural Health Clinic/Center
- Selby, SD
- NPI 1093335333
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Memorial Hospital of Converse CountyMobridge Regional HospitalAvera McKennanFamily Medical Center
Practice addresses (Care Compare)
111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122
1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692
301 Flynn Dr
Milbank, SD 57252-1508
Phone (605) 432-4587
497 W Lott St
Buffalo, WY 82834-1658
Phone (307) 684-2228
700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300
Hospital & facility affiliations
- Johnson County Healthcare Center
- Memorial Hospital of Converse County
- Avera Gregory Hospital
- Sheridan Memorial Hospital
- Johnson County Healthcare Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1902850779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 ONYX ST",
"city": "KEMMERER",
"state": "WY",
"postal_code": "831013214",
"telephone_number": "307-877-4496",
"fax_number": "307-877-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 ONYX ST",
"city": "KEMMERER",
"state": "WY",
"postal_code": "831013214",
"telephone_number": "307-877-4496",
"fax_number": "307-877-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGE",
"first_name": "REGG",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "11278A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "5642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5607445",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5607446",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kemmerer, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.