MAXWELL KENNEDY HAGAN MD
NPI 1255061982
Family Medicine in Derby, KS
About Maxwell Kennedy Hagan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL KENNEDY HAGAN MD (NPI 1255061982) is an individual family medicine provider in Derby, Kansas, licensed in Kansas (94-11087) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxwell Kennedy Hagan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Maxwell Hagan's NPI number?
The NPI number for Maxwell Hagan is 1255061982. It was assigned to this individual provider in the NPPES registry on June 15, 2022.
Where is Maxwell Hagan located?
Maxwell Hagan practices at 1101 N Rock Rd, Derby, KS 67037. The listed phone number is (316) 788-6963.
What is Maxwell Hagan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Maxwell Hagan enrolled in Medicare?
Yes. Maxwell Hagan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Maxwell Hagan was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Maxwell Kennedy Hagan, MD · NPI 1255061982
Family Medicine physician in Derby, Kansas. Individual provider, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1255061982 (Entity type: Individual)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 94-11087 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 N ROCK RD, Derby, KS 67037-3705
- **Phone:** (316) 788-6963
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255061982) · Data from the CMS NPPES public registry.