Trent William Hagstrom, - Medicare Nurse Anesthetist, Certified Registered in St Louis Park, MN

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Trent William Hagstrom, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in St Louis Park, Minnesota. His current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-5000.

Trent William Hagstrom is licensed to practice in Minnesota (license number 2790) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467175422.

Contact Information

Trent William Hagstrom,
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702
(952) 993-5000
Not Available

Map and Direction




Provider's Profile

Full NameTrent William Hagstrom
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467175422
  • Provider Enumeration Date: 09/23/2022
  • Last Update Date: 01/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870964331
  • Enrollment ID: I20230119001364

Medical Identifiers

Medical identifiers for Trent William Hagstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467175422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2458690 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered 2790 (Minnesota)Primary

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. Trent William Hagstrom allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083622047
PECOS PAC ID: 7315840063
Enrollment ID: O20040129000853
Entity NameWelia Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1528031390
PECOS PAC ID: 6709295496
Enrollment ID: O20210722002959
Entity NameWelia Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528031390
PECOS PAC ID: 6709295496
Enrollment ID: O20220125001227

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. Trent William Hagstrom 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 AddressPractice Location Address
Trent William Hagstrom,
1778 Jonquil Ln N,
Plymouth, MN 55441-4021

Ph: (612) 501-6794		Trent William Hagstrom,
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702

Ph: (952) 993-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in St Louis Park, MN

Lindsey Marie Knapp, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Ms. Susan J Bermel, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, Anesthesiology, St Louis Park, MN 55426
Phone: 952-993-5222    
Anne Katherine Hennes, APRN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-6016    
Alexis Rose Boll,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Adrienne Backus,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Frank A Jirik,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Carie Voges,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.