Jean Morgan Hagedorn, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6830220-4405 Issued in UT

Practice address

175 N. Medical Drive East, 5TH Floor
Univ of Utah
Salt Lake City, UT 84132

Phone

(801) 581-6908

Fax

(801) 581-4385

NPI assigned

Jul 7, 2011

Last updated

Aug 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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

• Medical Neuroscience

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Salt Lake City, UT
  • NPI 1225135106
  NPD (past)
• University Neurosurgery Associates

  • Neurological Surgery Physician
  • Salt Lake City, UT
  • NPI 1942306972
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1114214442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIV OF UTAH",
            "address_2": "175 N. MEDICAL DRIVE EAST, 5TH FLOOR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-6908",
            "fax_number": "801-581-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N. MEDICAL DRIVE EAST, 5TH FLOOR",
            "address_2": "UNIV OF UTAH",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84132",
            "telephone_number": "801-581-6908",
            "fax_number": "801-581-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "JEAN",
        "middle_name": "MORGAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6830220-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01016140",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Haga Harvey
• Mary Elizabeth Hagan, FNP
• Chadi Hage Chehade
• Caroline Hagedorn, RN, PNP
• Curt H Hagedorn, M.D.
• William Hagee
• Synneva Hagen-Lillevik, MS, RD, CD
• Jolena Ann Hagen, PHARM.D.
• Cameron Phillip Hagenson
• Susan J Hager, O.T.

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.