Individual provider Active NPI

Regg A Hagge, MD

  • Family Medicine Physician
  • Kemmerer, WY
National Provider Identifier
1902850779
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5642 Issued in SD
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

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5607445MedicaidSD
5607446MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5642SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weston County Hospital District CurrentSince Jul 6, 2018 Accepting new patients
Family Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Madison Community Hospital CurrentSince May 27, 2016 Accepting new patients
Avera McKennan Current Accepting new patients
Mobridge Regional Hospital Current Accepting new patients
Niobrara County Hospital District CurrentSince Sep 17, 2023 Accepting new patients
Weston County Hospital District CurrentSince Jul 6, 2018 Accepting new patients
Avera McKennan CurrentSince May 26, 2020 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
Madison Community Hospital CurrentSince May 27, 2016 Accepting new patients
Mobridge Regional Hospital CurrentSince Jul 1, 2015 Accepting new patients
Avera McKennan CurrentSince May 26, 2020 Accepting new patients
Philip Health Services, Inc. Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Philip Health Services, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Avera McKennan Current Accepting new patients
Johnson County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Johnson County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Memorial Hospital of Converse County CurrentSince Sep 25, 2023 Accepting new patients
Box Butte General Hospital Past Accepting new patients
Box Butte General Hospital Past Accepting new patients
Philip Clinic PastSince Mar 28, 2021 Accepting new patients
Mobridge Regional Hospital Family Medicine Past Accepting new patients
Platte Community Memorial Hospital, Inc. Family Medicine PastSince Aug 1, 2021 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

  • Direct secure messaging: rhagge@direct.mhccwyo.org
  • Direct secure messaging: regg.hagge@avera.sdhealthlink.net
  • Direct secure messaging: regghagge@fmcjc.allscriptsdirect.net
  • FHIR API: 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.

View all 30

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Memorial Hospital of Converse County 77 clinicians
Mobridge Regional Hospital 20 clinicians
Avera McKennan 957 clinicians
Family Medical Center 22 clinicians

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 Hospital, Buffalo, WY, CCN 531308
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Avera Gregory Hospital Hospital, Gregory, SD, CCN 431338
  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006
  • Johnson County Healthcare Center Nursing home, CCN 53Z308

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

Verify at the official NPI Registry.