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

Stefani J Hagglund, PA-C

Individual provider Physician Assistant · NPI 1275592578

Stefani J Hagglund, PA-C is a Physician Assistant in Bloomington, Illinois. Qualified in 2011, 15 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa, Illinois and New York.

Years since qualifying
15
Licensed in
IA, IL, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112
Phone: (309) 663-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 — (319) 353-6992

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001371 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 002284 (IA)
Physician Assistant Taxonomy 363A00000X · Licence 0063861 (NY)

Record details

NPI number1275592578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESDecember 30, 2024
Certification dateDecember 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bloomington