MS. CARRIE HAGBERG NCP
NPI 1619929064
Physician Assistant in Brookings, SD

Q: What is Carrie Hagberg's NPI number?

The NPI number for Carrie Hagberg is 1619929064. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Carrie Hagberg'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 Carrie Hagberg was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 16, 2006

400 22ND AVE., BROOKINGS, SD 57006(605) 697-9500(605) 697-6939 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Carrie Hagberg Ncp NPPES

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

MS. CARRIE HAGBERG NCP (NPI 1619929064) is an individual physician assistant in Brookings, South Dakota, licensed in South Dakota (0126) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619929064

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. CARRIE HAGBERGCredential: NCP

Location Address400 22ND AVE.Brookings, SD 57006-2497

Mailing Address400 22nd Ave.Brookings, SD 57006-2497 · (605) 697-9500 · Fax (605) 697-6939

Phone(605) 697-9500

Fax(605) 697-6939

Sole ProprietorNo

Enumeration DateMay 16, 2006

Last NPPES UpdateSeptember 24, 2007

✔ NPI 1619929064 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 SD · 0126

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.

400 22ND AVE., Brookings, SD 57006

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Other Identifiers 3

Medicaid6820352SD

Medicare PINS42425SD

Medicare UPINR02485SD

Other Providers at the Same Location NPPES 16

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

MS. AMY L. BAKKER PAC

Physician Assistant