MICHELLE RENEE HAGEN (NPI# 1366632002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366632002 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE HAGEN |
| Practice Address |
2201 Jackson Blvd Suite 102 Rapid City SD 57702-4386 |
| Mailing Address |
Po Box 6020 Rapid City SD 57709-6020 |
| Practice Telephone | 6053484645 |
| Practice Fax Number | 6053485501 |
| Mailing Telephone | 6053423280 |
| Mailing Fax Number | 6057218458 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0654 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883075 | Michelle Nufable Hagen | Marriage & Family Therapist | 668 Rainbow Pl, Diamond Bar, CA 91765-1876 | 2020-08-25 |
| 1982183208 | Michelle Suzanne Hagen | Physician Assistant | 5801 Virginia Pkwy, Mckinney, TX 75071-5507 | 2018-08-08 |
| 1063710564 | Michelle Lee Hagen | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2011-03-08 |
| Street Address |
2201 JACKSON BLVD SUITE 102 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619919503 | Edward P Vopat | Physician Assistant | 2201 Jackson Blvd, 100, Rapid City, SD 57702-4386 | 2006-06-12 |
| 1235480005 | Stacey Kerr | Physician Assistant | 2201 Jackson Blvd, 100, Rapid City, SD 57702-4386 | 2012-09-19 |
| 1033421037 | James Bruce Ferrell | Physician Assistant | 2201 Jackson Blvd, Suite 102, Rapid City, SD 57702-4386 | 2010-07-07 |
| 1033121355 | Rapid City Medical Center LLP | Nurse Practitioner | 2201 Jackson Blvd, Rapid City, SD 57702-4386 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551447 | Eugenie Coleman | Physician Assistant | 2510 Arrow St, Rapid City, SD 57702-4306 | 2020-02-25 |
| 1114395597 | Stacy Danielson | Physician Assistant | 1818 W Fulton St Ste 102, Rapid City, SD 57702-4347 | 2015-09-02 |
| 1487058293 | Brittany Ann Rieman | Physician Assistant | 2805 5th Street, Suite 100, Rapid City, SD 57701 | 2014-10-22 |
| 1174775928 | Tricia Hoffman | Physician Assistant | 717 Saint Francis Street, Rapid City, SD 57701 | 2008-10-10 |
| 1104087709 | David Allen Cohen | Physician Assistant | 101 E Minnesota St Ste 210, Rapid City, SD 57701-7758 | 2008-06-17 |
| 1023126810 | Angela M Okroi | Physician Assistant | 28 Medical Group, 2900 Doolittle Dr Ellsworth Afb Sd, Rapid City, SD 57702 | 2006-08-29 |
| 1851303358 | Maria Celeste Ramos | Physician Assistant | 2016 2nd Ave, Rapid City, SD 57702-3322 | 2006-08-12 |
| 1700821162 | Devon Graham | Physician Assistant | 2116 Jackson Blvd, Rapid City, SD 57702-4386 | 2006-06-19 |
| 1619919503 | Edward P Vopat | Physician Assistant | 2201 Jackson Blvd, 100, Rapid City, SD 57702-4386 | 2006-06-12 |
| 1891786166 | Wendy Peterson | Physician Assistant | 1730 Haines Ave, Rapid City, SD 57701-0615 | 2005-11-04 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on MICHELLE RENEE HAGEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.