Kennedy Hagen
NPI 1194451641 · Physician Assistant · Bellingham, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kennedy Hagen is a Physician Assistant provider in Bellingham, WA (NPI 1194451641).
Provider details
- NPI number
- 1194451641
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA61600671 (WA)
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 31405 18th Ave SFederal Way, WA 98003-5433Phone: (360) 671-3225Fax: (360) 671-0000
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Kennedy Hagen's NPI number?
- Kennedy Hagen's National Provider Identifier (NPI) is 1194451641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy Hagen's specialty?
- Kennedy Hagen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kennedy Hagen located?
- Kennedy Hagen's practice location on file with NPPES is 4455 Cordata Pkwy, Bellingham, WA 98226-8037.
- What is Kennedy Hagen's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Hagen is (360) 671-3225.
- Does Kennedy Hagen accept Medicare?
- Kennedy Hagen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kennedy Hagen's NPI active?
- Yes — Kennedy Hagen's NPI (1194451641) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.