Individual provider Active NPI

Michelle Lee Hagen, ACNP-BC

  • Acute Care Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1063710564
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11001744 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 273-8610
Fax
(352) 273-8612
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001744 FL
Acute Care Nurse Practitioner 363LA2100X A03503 ANP AR
Acute Care Nurse Practitioner 363LA2100X APRN11001744 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

Other practice location 1

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

Other identifiers 1

IdentifierTypeStateIssuer
128566900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110524000104 AR Practitioner - Nurse Practitioner 0749466993 Reassigns benefits to 3 organizations
I20251003002057 FL Practitioner - Nurse Practitioner 0749466993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A03503 ANPARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 23, 2025 Accepting new patients
Arkansas Post Discharge Services, PLLC Nurse Practitioner CurrentSince Aug 26, 2024 Accepting new patients
Crawford Physician Services, PLLC Nurse Practitioner CurrentSince Jun 11, 2024 Accepting new patients
Sebastian Physician Services, PLLC Nurse Practitioner CurrentSince Jun 11, 2024 Accepting new patients
White River Health System, Inc. Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 23, 2025 Accepting new patients
Halifax Healthcare Systems Inc PastSince Jul 15, 2026 Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

311 N Clyde Morris Blvd
Ste 200
Daytona Beach, FL 32114
Phone (386) 241-1060

303 N Clyde Morris Blvd
#G
Daytona Beach, FL 32114
Phone (386) 425-1700

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1890 Lpga Blvd
Daytona Beach, FL 32117
Phone (386) 274-0250

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1063710564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1200",
            "fax_number": "870-262-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017303",
            "country_code": "US",
            "telephone_number": "870-262-1200",
            "fax_number": "870-262-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001744",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A03503 ANP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11001744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128566900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.