Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Marie Hagner, APNP

Individual provider Nurse Practitioner · NPI 1144827734

Kelly Marie Hagner, APNP is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2020, 6 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

480 E Division St
Fond Du Lac, WI 54935-3734
Phone: (920) 926-4100
Fax: (920) 926-4190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10452-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 10452-33 (WI)

Record details

NPI number1144827734
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fond Du Lac