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MRS. JESSICA DAWN HAGEN PA-C
NPI 1194956417
Physician Assistant - Medical in Milwaukee, WI

Active since August 04, 2009PECOS Enrolled
5330 W. VILLARD AVENUE, MILWAUKEE, WI 53218(414) 463-9159(414) 831-0422 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jessica Dawn Hagen Pa-c NPPES

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

MRS. JESSICA DAWN HAGEN PA-C (NPI 1194956417) is an individual medical provider in Milwaukee, Wisconsin, licensed in Wisconsin (2478-023) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194956417
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JESSICA DAWN HAGENCredential: PA-C
Location Address5330 W. VILLARD AVENUEMilwaukee, WI 53218
Mailing Address5330 W. Villard AvenueMilwaukee, WI 53218 · (414) 463-9159 · Fax (414) 831-0422
Phone(414) 463-9159
Fax(414) 831-0422
Sole ProprietorNo
Enumeration DateAugust 4, 2009
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1194956417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 2478-023
5330 W. VILLARD AVENUE, Milwaukee, WI 53218
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Other Names 1

Former Name (1)Ms. Jessica Dawn Watkins Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Dawn Hagen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jessica Hagen's NPI number?

The NPI number for Jessica Hagen is 1194956417. It was assigned to this individual provider in the NPPES registry on August 4, 2009. The provider is also known as Ms. Jessica Dawn Watkins Pa-C.

Where is Jessica Hagen located?

Jessica Hagen practices at 5330 W. Villard Avenue, Milwaukee, WI 53218. The listed phone number is (414) 463-9159.

What is Jessica Hagen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Hagen enrolled in Medicare?

Yes. Jessica Hagen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Hagen was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.