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

Mrs. Kathleen Dora Hagan, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093330052

Mrs. Kathleen Dora Hagan, PA-C is a Physician Assistant in Sitka, Alaska. Qualified in 2021, 5 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Sitka, AK

Additional practice locations (2)

  • 307 Cascade St, Sitka, AK 99835-7140 — (907) 738-0698
  • 375 S Chipeta Way, Salt Lake City, UT 84108-1260 — (801) 581-7766

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093330052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 13, 2022
Certification dateJune 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Sitka