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KAGEN DERMATOLOGY CLINIC SC
NPI 1730238890
Specialist in Appleton, WI

Active since January 09, 2007
100 W LAWRENCE ST, SUITE 409, APPLETON, WI 54911(920) 733-5138(920) 733-3759 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 1, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Kagen Dermatology Clinic Sc NPPES

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

KAGEN DERMATOLOGY CLINIC SC (NPI 1730238890) is a healthcare organization registered as a specialist in Appleton, Wisconsin and active in the NPI registry since January 2007. The organization lists Charles Norman Kagen, Physician, as its authorized official.

NPPES Registry Identity

NPI1730238890
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKAGEN DERMATOLOGY CLINIC SC
Location Address100 W LAWRENCE ST, SUITE 409Appleton, WI 54911-5773
Mailing Address100 W Lawrence St, Suite 409Appleton, WI 54911-5773 · (920) 733-5138 · Fax (920) 733-3759
Phone(920) 733-5138
Fax(920) 733-3759
Organization SubpartNo
Authorized OfficialCharles Norman KagenPhysician · (920) 733-5138
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 1, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2026
✔ NPI 1730238890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WI · 24388
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 W LAWRENCE ST, Appleton, WI 54911
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kagen Dermatology Clinic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kagen Dermatology Clinic Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Kagen, M.D.
Dermatology
NPI 1114015674
100 W LAWRENCE ST SUITE 409
Appleton, WI 54911
(920) 733-5138
✔ PECOS✔ Accepts MedicareSame address

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

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 Kagen Dermatology Clinic Sc's NPI number?

The NPI number for Kagen Dermatology Clinic Sc is 1730238890. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Kagen Dermatology Clinic Sc located?

Kagen Dermatology Clinic Sc is located at 100 W Lawrence St Suite 409, Appleton, WI 54911. The listed phone number is (920) 733-5138.

What is Kagen Dermatology Clinic Sc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kagen Dermatology Clinic Sc enrolled in Medicare?

Yes. Kagen Dermatology Clinic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kagen Dermatology Clinic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Kagen Dermatology Clinic Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kagen Dermatology Clinic Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Kagen Dermatology Clinic Sc 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 Kagen Dermatology Clinic Sc was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.