IndividualActive
Theresa Hagans
NPI 1063996890 · Nurse Practitioner · Utica, NY
Theresa Hagans is a Nurse Practitioner provider in Utica, NY (NPI 1063996890).
Provider details
- NPI number
- 1063996890
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 343415 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1450 Champlin Ave Ste 1
Utica, NY 13502-3662
Phone: (315) 624-9000
Fax: (315) 624-9003
Street-level locationGet directions
Mailing address
1450 Champlin Ave Ste 1
Utica, NY 13502-3662
Registry dates
- Enumerated
- 2018-09-18
- Last updated
- 2019-03-05
Frequently asked questions
- What is Theresa Hagans's NPI number?
- Theresa Hagans's National Provider Identifier (NPI) is 1063996890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Hagans's specialty?
- Theresa Hagans is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Hagans located?
- Theresa Hagans's practice location on file with NPPES is 1450 Champlin Ave Ste 1, Utica, NY 13502-3662.
- What is Theresa Hagans's phone number?
- The practice phone number listed in the NPPES registry for Theresa Hagans is (315) 624-9000.
- Is Theresa Hagans's NPI active?
- Yes — Theresa Hagans's NPI (1063996890) is active in the NPPES registry as of the last update on 2019-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.