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MR. KEITH HAGEMAN LPC
NPI 1629779012
Counselor - Professional in Casper, WY

Active since March 13, 2023PECOS EnrolledAccepts Medicare Assignment
5000 BLACKMORE RD, CASPER, WY 82609(307) 233-6000(307) 233-6089 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Keith Hageman Lpc NPPES

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

MR. KEITH HAGEMAN LPC (NPI 1629779012) is an individual professional provider in Casper, Wyoming, licensed in Wyoming (LPC-2336) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629779012
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KEITH HAGEMANCredential: LPC
Location Address5000 BLACKMORE RDCasper, WY 82609-3345
Mailing Address5000 Blackmore RdCasper, WY 82609-3345
Phone(307) 233-6000
Fax(307) 233-6089
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 13, 2023
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1629779012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WY · LPC-2336
5000 BLACKMORE RD, Casper, WY 82609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Keith Hageman Lpc 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 ID5698215648
PECOS Enrollment IDI20240905002325
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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Hageman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Central Wyoming, Inc.
Same address
Federally Qualified Health Center (FQHC)
5000 BLACKMORE RD
Casper, WY 82609
  • Reassigned Medicare billing, Wyoming enrollment
  • 36 clinicians in this Medicare group
NPI 1447480561 (307) 233-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TRAVIS SCORESBY PA-C
Physician Assistant
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6000
SARA E MALSOM PA-C
Physician Assistant
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6000
ABIGAIL LAYNE ARROSS
Nurse Practitioner (Family)
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6000
MS. BONITA SUE MORISETTE-HOOD MSW, LCSW-1619
Social Worker (Clinical)
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6000
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC
Pharmacy (Clinic Pharmacy)
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6050
KALLY RAY SAYDJARI DNP
Nurse Practitioner (Primary Care)
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6000
SUSANNE ELISABETH RIDLEY LCSW
Social Worker (Clinical)
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6000
LAURA M. HUNSAKER LCSW
Social Worker (Clinical)
5000 BLACKMORE RD
CASPER, WY 82609
Natrona County (307) 233-6000

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 Keith Hageman's NPI number?

The NPI number for Keith Hageman is 1629779012. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Keith Hageman located?

Keith Hageman practices at 5000 Blackmore Rd, Casper, WY 82609. The listed phone number is (307) 233-6000.

What is Keith Hageman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Keith Hageman enrolled in Medicare?

Yes. Keith Hageman 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.

Which organization bills Medicare for Keith Hageman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Hageman reassigns Medicare benefits to Community Health Center Of Central Wyoming, Inc. (Casper, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Hageman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Hageman accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Keith Hageman 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.

When was this NPI record last updated?

The NPPES record for Keith Hageman was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.