KATELYN MARIE HAGEMAN DC
NPI 1073130514
Chiropractor in Island Lake, IL
About Katelyn Marie Hageman Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN MARIE HAGEMAN DC (NPI 1073130514) is an individual chiropractor in Island Lake, Illinois, licensed in Illinois (038013335) and active in the NPI registry since July 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Marie Hageman Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Hageman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Island Lake, IL 60042
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katelyn Hageman's NPI number?
The NPI number for Katelyn Hageman is 1073130514. It was assigned to this individual provider in the NPPES registry on July 1, 2020.
Where is Katelyn Hageman located?
Katelyn Hageman practices at 28070A E State Rd, Island Lake, IL 60042. The listed phone number is (847) 487-1111.
What is Katelyn Hageman's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Katelyn Hageman enrolled in Medicare?
Yes. Katelyn Hageman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katelyn Hageman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Hageman reassigns Medicare benefits to Lindsey Chiropractic Clinic PC (Island Lake, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Hageman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katelyn Hageman was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katelyn Marie Hageman, DC · NPI 1073130514
Chiropractor provider in Island Lake, Illinois. Individual provider, active in the CMS NPPES registry since July 1, 2020.
## Identity
- **NPI:** 1073130514 (Entity type: Individual)
- **Enumerated:** July 1, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038013335 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 28070A E STATE RD, Island Lake, IL 60042-9552
- **Phone:** (847) 487-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Lindsey Chiropractic Clinic PC (NPI 1255465522, Island Lake, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073130514) · Data from the CMS NPPES public registry.