DR. HAGEN KENNECKE (MD, MHA, FRCPC) – Medical Oncology Physician, NPI 1578090270

DR. HAGEN KENNECKE (MD, MHA, FRCPC) is a healthcare provider. based in Seattle, Washington. specializing in MEDICAL ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD, MHA, FRCPC. They hold a License No. 60729732 (WA). The NPI Number for DR. HAGEN KENNECKE (MD, MHA, FRCPC) is 1578090270

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAGEN KENNECKE (MD, MHA, FRCPC)
NPI
1578090270
Phone
(206) 515-5811
Address
1100 9th Avenue
Enumeration Date
12 May 2017
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
DALHOUSIE UNIVERSITY, FACULTY OF MEDICINE
Secondary Phone
9712629600
Graduation Year
1997 (29 years ago)
PAC ID
5395014559
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20210408000647
Address ID
OR972102900PO1130XAVEX402
Telehealth
Yes

Contacts

Secure Messaging
hkennecke1468762@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

181 MEDICAL ONCOLOGY in WA

Provider Addresses for DR. HAGEN KENNECKE (MD, MHA, FRCPC)

  • 1100 9th Avenue

    Virginia Mason Medical Center

    Seattle, WA 981012756

    Phone: (206) 515-5811

    Type: Location

  • Virginia Mason Hospital & Seattle Medical Center, 1100, 9th Avenue, Central Business District, First Hill, Seattle, King County, Washington, 98101, United States

    VIRGINIA MASON MEDICAL CENTER

    SEATTLE, WA 981012756

    Phone: (206) 515-5811

    Type: Mailing

  • 1400 SW 5TH AVE STE 500

    PORTLAND, OR 972015537

    Phone: (866) 617-6855

    Fax: (503) 346-8015

    Type: Mailing

  • 1130 NW 22ND AVE STE 150

    PORTLAND, OR 972102974

    Phone: (971) 262-9600

    Fax: (971) 262-9601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $11,636.

Total Amount is formed as General ($11,636) + Research ($0) + Ownership ($0) = $11,636.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Exelixis Inc. ($11,071).

Total Amount

$11,636

General + Research + Ownership

Payments

24

Total payment records

General Amount

$11,636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2021-04-08

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
I20210408000647IMedical OncologyORTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes20068$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or11349$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3016$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 98101)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

Does DR. HAGEN KENNECKE (MD, MHA, FRCPC) have a public NPI I can cite?
Public records show DR. HAGEN KENNECKE (MD, MHA, FRCPC) under NPI 1578090270.
Should I treat DR. HAGEN KENNECKE (MD, MHA, FRCPC) as an active provider?
Patients and plans typically see DR. HAGEN KENNECKE (MD, MHA, FRCPC) as active in the national extract.
Which specialty label fits DR. HAGEN KENNECKE (MD, MHA, FRCPC)?
NPPES ties DR. HAGEN KENNECKE (MD, MHA, FRCPC) to Medical Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. HAGEN KENNECKE (MD, MHA, FRCPC)?
The directory associates DR. HAGEN KENNECKE (MD, MHA, FRCPC) with Seattle, Washington. Check all listed addresses for suites or satellite offices.
Who maintains DR. HAGEN KENNECKE (MD, MHA, FRCPC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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