ELIZABETH MARIE HAGAN (P.A) – Surgical Physician Assistant, NPI 1205160983

ELIZABETH MARIE HAGAN (P.A) is a healthcare provider. based in Jupiter, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A. They hold a License No. PA 9105150 (FL). The NPI Number for ELIZABETH MARIE HAGAN (P.A) is 1205160983

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MARIE HAGAN (P.A)
NPI
1205160983
Phone
(561) 776-7676
Address
600 UNIVERSITY BLVD STE 101
Enumeration Date
28 September 2009
Last Update Date
28 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617767676
Graduation Year
2009 (17 years ago)
PAC ID
2769525781
Group Practice PAC ID
3274590831
Professional Enrollment ID
I20100129000578
Address ID
FL334582778JU600XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for ELIZABETH MARIE HAGAN (P.A)

  • University Boulevard, Jupiter, Palm Beach County, Florida, 33477, United States

    JUPITER, FL 334582778

    Phone: (561) 776-7676

    Fax: (561) 776-7585

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$184

General + Research + Ownership

Payments

4

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-29

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
I20100129000578IPhysician AssistantFLTBD

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
35301Removal of blood clot and portion of chest, neck, or brain artery3425$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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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: 3274590831View full group profile
NameSpecialtyState
Vascular Surgery, Cardiac SurgeryFL

Reviews

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Frequently asked questions

What is the registry number for ELIZABETH MARIE HAGAN (P.A)?
The registry entry for ELIZABETH MARIE HAGAN (P.A) shows NPI 1205160983.
Does the public listing show ELIZABETH MARIE HAGAN (P.A) as active?
ELIZABETH MARIE HAGAN (P.A)'s NPI record reflects an active status in NPPES.
How should patients interpret ELIZABETH MARIE HAGAN (P.A)'s specialty?
The extract shows Surgical Physician Assistant for ELIZABETH MARIE HAGAN (P.A). Clinical services aligned with this taxonomy classification.
Can patients visit ELIZABETH MARIE HAGAN (P.A) in Jupiter, Florida?
For routing, start with Jupiter, Florida for ELIZABETH MARIE HAGAN (P.A), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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