Nicole Hagen
NPI 1093503583 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Hagen is a Physician Assistant provider in Fort Wayne, IN (NPI 1093503583).
Provider details
- NPI number
- 1093503583
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10004914A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-04-25
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Nicole Hagen's NPI number?
- Nicole Hagen's National Provider Identifier (NPI) is 1093503583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Hagen's specialty?
- Nicole Hagen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Hagen located?
- Nicole Hagen's practice location on file with NPPES is 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673.
- What is Nicole Hagen's phone number?
- The practice phone number listed in the NPPES registry for Nicole Hagen is (260) 425-6780.
- Does Nicole Hagen accept Medicare?
- Nicole Hagen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Hagen's NPI active?
- Yes — Nicole Hagen's NPI (1093503583) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.