MIRA ELIZABETH HAGER PA
NPI 1619447745
Physician Assistant in Chicago, IL

Q: What is Mira Hager's NPI number?

The NPI number for Mira Hager is 1619447745. It was assigned to this individual provider in the NPPES registry on December 2, 2018.

Q: What is Mira Hager's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mira Hager was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 02, 2018PECOS EnrolledAccepts Medicare Assignment

4417 W DIVERSEY AVE, CHICAGO, IL 60639(773) 377-7736(815) 642-5723 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, Jul 12, 2023, Aug 10, 2021 and 1 more (4 updates tracked since 2018).

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About Mira Elizabeth Hager Pa NPPES

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

MIRA ELIZABETH HAGER PA (NPI 1619447745) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085007008) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2018).

NPPES Registry Identity

NPI1619447745

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIRA ELIZABETH HAGERCredential: PA

Location Address4417 W DIVERSEY AVEChicago, IL 60639-1923

Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (312) 733-9730

Phone(773) 377-7736

Fax(815) 642-5723

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2018

Enumeration DateDecember 2, 2018

Last NPPES UpdateJune 5, 20254 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1619447745 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 IL · 085007008

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.

4417 W DIVERSEY AVE, Chicago, IL 60639

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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

Mira Elizabeth Hager Pa 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 ID6002157146

PECOS Enrollment IDI20190417003039

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

93 services50 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

26 services26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60639 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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Other Providers at the Same Location NPPES 12

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

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