Jason Scott Hagely, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2012005909 Issued in MO

Practice address

1705 Christy Dr Ste 210
Jefferson City, MO 65101-5195

Phone

(573) 606-7337

NPI assigned

Jul 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhagely439598@direct-ehr-ssmhc.com

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.

• Children'S Mercy - JC Peds Inc

  • Pediatrics Physician
  • Jefferson City, MO
  • NPI 1790537462
  NPD
• JC Peds, LLC

  • Pediatrics Physician
  • Jefferson City, MO
  • NPI 1710568233
  NPD

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1982833885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8399",
            "fax_number": "573-348-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CHRISTY DR STE 210",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015195",
            "telephone_number": "573-606-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGELY",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2012005909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982833885",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Gupta
• Venkata Siva Reddy Guvva, BDS,PROSTHODONTICS
• Cynthia L Hackathorn, PH.D.
• Shadi Maher Haddadin, MD
• Akosua Serwaa Hagan, APRN, RN
• Lindsey Hagerman
• Steven L. Hahn, MD
• Randall Dean Haight, M.D.
• Jagabandhu Halder, OTR
• Pitu Halder, CCC-SLP

• Pediatrics Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.