CHERYL ANN HAGEN (PA-C) – Medical Physician Assistant, NPI 1073808739

CHERYL ANN HAGEN (PA-C) is a healthcare provider. based in Mankato, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10968 (MN). The NPI Number for CHERYL ANN HAGEN (PA-C) is 1073808739

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CHERYL ANN HAGEN (PA-C)
NPI
1073808739
Phone
(507) 389-8502
Address
1230 E MAIN ST
Enumeration Date
10 June 2011
Last Update Date
10 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5079312200
Graduation Year
2011 (15 years ago)
PAC ID
2062684749
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20111003000396
Address ID
MN560825376SA1900XDRXX300

Contacts

Secure Messaging
cherylhagen@mklt.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

4,048 PHYSICIAN ASSISTANT in MN

Provider Addresses for CHERYL ANN HAGEN (PA-C)

  • 1230 E MAIN ST

    MANKATO, MN 560015066

    Phone: (507) 389-8502

    Fax: (507) 625-3928

    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 7 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$140

General + Research + Ownership

Payments

7

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2011-10-03

PECOS data refreshed: 2026-06-15

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
I20111003000396IPhysician AssistantMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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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: 5597677955View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Cardiovascular Disease (Cardiology), Internal MedicineMN
-MN
Family PracticeMN
P S Y C H I A T R YMN
-MN
-MN
Diagnostic Radiology, Internal MedicineMN
Physician AssistantMN
Physician AssistantMN

Reviews

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Frequently asked questions

What is the standard ID for CHERYL ANN HAGEN (PA-C) in the U.S.?
In the U.S., CHERYL ANN HAGEN (PA-C) is identified by NPI 1073808739.
Does the public listing show CHERYL ANN HAGEN (PA-C) as active?
CHERYL ANN HAGEN (PA-C)'s NPI record reflects an active status in NPPES.
What does the directory say CHERYL ANN HAGEN (PA-C) does?
Insurance directories may phrase it differently, but here CHERYL ANN HAGEN (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CHERYL ANN HAGEN (PA-C) tied to Mankato, Minnesota?
If you are local to Mankato, Minnesota, CHERYL ANN HAGEN (PA-C) may be relevant to your search.
Can I export CHERYL ANN HAGEN (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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