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

Michelle Renee Hagen

Individual provider Physician Assistant · NPI 1366632002

Michelle Renee Hagen is a Physician Assistant in Fort Meade, South Dakota. Licensed in South Dakota. Registered with an NPI since 2007.

Licensed in
SD
In the registry since
2007

Practice location Address checks out

113 Comanche Rd
Fort Meade, SD 57741-1002
Phone: (605) 347-2511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0654 (SD)

Record details

NPI number1366632002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2007
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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