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

Michael James Bagin, PA

Individual provider Physician Assistant · NPI 1730616806

Michael James Bagin, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2017, 9 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Hampshire and Wisconsin.

Years since qualifying
9
Licensed in
NH, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Medical Center Dr
Lebanon, NH 03756
Phone: (603) 650-7254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 — (603) 448-3121
  • 410 Dewey St, Wisconsin Rapids, WI 54494-4715 — (715) 423-6060

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1499 (NH)
Physician Assistant Taxonomy 363A00000X · Licence 4080-23 (WI)

Record details

NPI number1730616806
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 18, 2017
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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