MRS. KATHLEEN DORA HAGAN (PA-C) – Physician Assistant, NPI 1093330052

MRS. KATHLEEN DORA HAGAN (PA-C) is a healthcare provider. based in Sitka, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MRS. KATHLEEN DORA HAGAN (PA-C) is 1093330052

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHLEEN DORA HAGAN (PA-C)
NPI
1093330052
Phone
(907) 738-0698
Address
307 CASCADE ST
Enumeration Date
15 June 2020
Last Update Date
13 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9079662411
Graduation Year
2021 (5 years ago)
PAC ID
7911384987
Group Practice PAC ID
1456265362
Professional Enrollment ID
I20220512000903
Address ID
AK998359416SI222XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:5State licenses:0Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

Provider Addresses for MRS. KATHLEEN DORA HAGAN (PA-C)

  • 307 CASCADE ST

    SITKA, AK 998357140

    Phone: (907) 738-0698

    Type: Mailing

  • 375 S Chipeta Way

    Salt Lake City, UT 841081260

    Phone: (801) 581-7766

    Type: Location

  • 307 Cascade St

    Sitka, AK 998357140

    Phone: (907) 738-0698

    Type: Location

  • 700 KATLIAN ST STE E

    SITKA, AK 998357359

    Phone: (907) 966-8761

    Fax: (907) 747-5415

    Type: Mailing

  • 222 TONGASS DR

    SITKA, AK 998359416

    Phone: (907) 966-2411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220512000903IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes258179$0
99214Established patient office or other outpatient visit, 30-39 minutes12588$0
99212Established patient office or other outpatient visit, 10-19 minutes2321$0
99442Telephone medical discussion with physician, 11-20 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 99835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456265362View full group profile

Reviews

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Frequently asked questions

What is the registry number for MRS. KATHLEEN DORA HAGAN (PA-C)?
The registry entry for MRS. KATHLEEN DORA HAGAN (PA-C) shows NPI 1093330052.
Should I treat MRS. KATHLEEN DORA HAGAN (PA-C) as an active provider?
Patients and plans typically see MRS. KATHLEEN DORA HAGAN (PA-C) as active in the national extract.
What type of care does MRS. KATHLEEN DORA HAGAN (PA-C) provide?
MRS. KATHLEEN DORA HAGAN (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. KATHLEEN DORA HAGAN (PA-C) in Sitka, Alaska?
For routing, start with Sitka, Alaska for MRS. KATHLEEN DORA HAGAN (PA-C), then verify phone and hours locally.
Who maintains MRS. KATHLEEN DORA HAGAN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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