Kaley Loraine Hagen, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9192 Issued in MN

Practice address

3433 Broadway St NE Ste 300
Minneapolis, MN 55413-1761

Phone

(763) 587-7737

Fax

(651) 383-4551

NPI assigned

May 24, 2022

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

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Services of Minnesota LLCGroup PAC ID 2365667557, 44 clinicians

Genevive Aco LLCGroup PAC ID 8628585080, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Genevive Aco LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1053200543
  Medicare reassignment Care Compare group NPD
• Geriatric Services of Minnesota, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1093131419
  Medicare reassignment Care Compare group NPD
• Unity Family Healthcare

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment NPD
• Unity Family Healthcare

  • Clinic/Center
  • Randall, MN
  • NPI 1336359009
  NPD
• Unity Family Healthcare

  • Home Health Agency
  • Little Falls, MN
  • NPI 1952329047
  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1114665775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9561 7TH ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563049701",
            "telephone_number": "612-619-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131761",
            "telephone_number": "763-587-7737",
            "fax_number": "651-383-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "MN",
            "postal_code": "563453559",
            "country_code": "US",
            "telephone_number": "320-631-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "KALEY",
        "middle_name": "LORAINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Hagedorn, NP
• Laura Joy Hagemeyer, M.D.
• Abbie Hagen
• Amy Kirsten Hagen, MSW, LICSW
• Jennifer Hagen
• Molly McDade Hagen, DNP, RN, CPNP
• Rebecca Edna Hagenbuch, RD
• Amanda C Hager
• Julia Sara Hager, RN, CNP
• Donna May Hagert, LICSW

• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.