1. Home
  2. Directory
  3. Washington
  4. Bellingham
  5. Physician Assistant
  6. NPI Profile

KENNEDY HAGEN
NPI 1194451641
Physician Assistant in Bellingham, WA

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
4455 CORDATA PKWY, BELLINGHAM, WA 98226(360) 671-3225(360) 671-0000 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Oct 8, 2024, Sep 19, 2024 and 1 more (4 updates tracked since 2022).

About Kennedy Hagen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY HAGEN (NPI 1194451641) is an individual physician assistant in Bellingham, Washington, licensed in Washington (PA61600671) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Federal Way.

NPPES Registry Identity

NPI1194451641
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY HAGEN
Location Address4455 CORDATA PKWYBellingham, WA 98226-8037
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(360) 671-3225
Fax(360) 671-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 27, 2022
Last NPPES UpdateOctober 6, 20254 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1194451641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA61600671
Definition
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.
4455 CORDATA PKWY, Bellingham, WA 98226
Open in Google Maps ↗

Secondary Practice Location 1

Location 131405 18th Ave SFederal Way, WA 98003-5433 · Phone (360) 671-3225 · Fax (360) 671-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedy Hagen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274065032
PECOS Enrollment IDI20241017002083
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORA C SHERMAN MD
Family Medicine
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
JULIA KERL M.A.
Counselor (Mental Health)
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 734-5458
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 788-7149
JEREMY A GINOZA DO
Family Medicine
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
MARIE TYNDALL RD
Dietitian, Registered
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3225
CARI LYNNE JONES
Counselor (Addiction (Substance Use Disorder))
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 734-5458
MONICA CARRILLO MD
Family Medicine
4455 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 671-3222

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 Kennedy Hagen's NPI number?

The NPI number for Kennedy Hagen is 1194451641. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Kennedy Hagen located?

Kennedy Hagen practices at 4455 Cordata Pkwy, Bellingham, WA 98226. The listed phone number is (360) 671-3225.

What is Kennedy Hagen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kennedy Hagen enrolled in Medicare?

Yes. Kennedy Hagen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kennedy Hagen accept?

Health plans from Providence Health Plan list Kennedy Hagen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kennedy Hagen affiliated with any hospitals?

According to CMS data, Kennedy Hagen is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Kennedy Hagen was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.