DR. JENNICA ALYSE HAGAN DNP, APRN, NNP-BC
NPI 1992419626
Nurse Practitioner - Neonatal in Sacramento, CA

Q: What is Jennica Hagan's NPI number?

The NPI number for Jennica Hagan is 1992419626. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Jennica Hagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennica Hagan was last updated on January 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 09, 2023PECOS Enrolled

4301 X ST, SACRAMENTO, CA 95817(916) 734-2011 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jennica Alyse Hagan Dnp, Aprn, Nnp-bc NPPES

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

DR. JENNICA ALYSE HAGAN DNP, APRN, NNP-BC (NPI 1992419626) is an individual neonatal provider in Sacramento, California, licensed in California (95023812) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992419626

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameDR. JENNICA ALYSE HAGANCredential: DNP, APRN, NNP-BC

Location Address4301 X STSacramento, CA 95817-2214

Mailing Address3175 Data Dr Apt 1428Rancho Cordova, CA 95670-6449 · (636) 352-8117

Phone(916) 734-2011

Sole ProprietorNo

Enumeration DateJanuary 9, 2023

NPPES CertifiedJanuary 7, 2023

✔ NPI 1992419626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in CA · 95023812

4301 X ST, Sacramento, CA 95817

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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 (PECOS)

Dr. Jennica Alyse Hagan Dnp, Aprn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.