Nicolle Hagen, APRN in Baxter, MN - Medicare Nurse Practitioner

Nicolle Hagen, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baxter, Minnesota. Her current practice location is 7115 Forthun Rd # 115, Baxter, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 829-3529.

Nicolle Hagen is licensed to practice in Minnesota (license number 9394) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477038560.

Contact Information

	Nicolle Hagen, APRN
	7115 Forthun Rd # 115, Baxter, MN 56425-8597
	(218) 829-3529
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicolle Hagen
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7115 Forthun Rd # 115, Baxter, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477038560
Provider Enumeration Date: 09/25/2018
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 4183095458
Enrollment ID: I20230124002154

Medical Identifiers

Medical identifiers for Nicolle Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477038560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9394 (Minnesota)	Primary
163WC1500X	Registered Nurse - Community Health	206130-6 (Minnesota)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicolle Hagen allows following entities to bill medicare on her behalf.

Entity Name	David C. Anderholm, Md, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083725147 PECOS PAC ID: 7517998222 Enrollment ID: O20050823000356

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolle Hagen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicolle Hagen, APRN 7115 Forthun Rd, Baxter, MN 56425-8597 Ph: (218) 829-9307	Nicolle Hagen, APRN 7115 Forthun Rd # 115, Baxter, MN 56425-8597 Ph: (218) 829-3529

Reviews and Comments

Nurse Practitioner Nurses in Baxter, MN

Shannon N Siekas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880
Karen K Opp, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880
Danielle J Munsterman, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13205 Isle Dr, Baxter, MN 56425 Phone: 218-454-7600 Fax: 218-546-4400
Mrs. Shannon Christian Shaw, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 512-981-8445
Trisha Marie Rau, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 Fax: 218-454-5936
Rhoda M Rees, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 Fax: 218-454-5916
Mrs. Amanda June Inas Mikhaeil, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14241 Grand Oaks Dr, Baxter, MN 56425 Phone: 218-316-3101

Nicolle Hagen, APRN - Medicare Nurse Practitioner in Baxter, MN