| Mrs Michelle Lee Hagen, ACNP-BC | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-8610 | |
| (352) 273-8612 |
| Full Name | Mrs Michelle Lee Hagen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063710564 | NPI | - | NPPES |
| 128566900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | A03503 ANP (Arkansas) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | APRN11001744 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White River Medical Center | Batesville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White River Health System, Inc. | 0143134270 | 164 |
| Sebastian Physician Services, Pllc | 5294178448 | 46 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235101601 PECOS PAC ID: 0143134270 Enrollment ID: O20031204000986 |
| Entity Name | Crawford Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346029204 PECOS PAC ID: 7517310014 Enrollment ID: O20240131004412 |
| Entity Name | Sebastian Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255110110 PECOS PAC ID: 5294178448 Enrollment ID: O20240205003889 |
| Entity Name | Arkansas Post Discharge Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851152029 PECOS PAC ID: 0345686861 Enrollment ID: O20240306004442 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle Lee Hagen, ACNP-BC 1710 Harrison St, Batesville, AR 72501-7303 Ph: (870) 262-1200 | Mrs Michelle Lee Hagen, ACNP-BC 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-8610 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Holly Willis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd., Gainesville, FL 32608 Phone: 352-548-6000 |