Individual provider Active NPI

Charles M Hagedorn, CRNA

  • Certified Registered Nurse Anesthetist
  • Sedalia, MO
National Provider Identifier
1144280470
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2006032655 Issued in MO
Practice address
601 E 14TH St
Sedalia, MO 65301-5972
Phone
(660) 829-7744
Fax
(660) 827-7678
NPI assigned
Mar 23, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100561 NE
Certified Registered Nurse Anesthetist 367500000X 2006032655 MO Primary
Certified Registered Nurse Anesthetist 367500000X 55374 KS

Addresses

Primary practice location

601 E 14TH St
Sedalia, MO 65301-5972

Mailing address

22432 Doc Rhodes Dr
Warsaw, MO 65355-6931
Phone (402) 245-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040823000835 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002880374 Reassigns benefits to 1 organization
I20051006000344 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002880374 Reassigns benefits to 4 organizations
I20220225001592 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002880374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

601 E 14TH St
Bothwell Regional Health Center
Sedalia, MO 65301-5972
Phone (660) 826-8833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
55374KSMDCertified Registered Nurse Anesthetist
2006032655MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates LLP Nurse Anesthetist, Certified Registered CurrentSince Sep 7, 2010 Accepting new patients
Great Plains of Cheyenne Co. Inc CurrentSince Apr 26, 2025 Accepting new patients
Bothwell Regional Health Center CurrentSince Feb 1, 2025 Accepting new patients
Manhattan Surgical Hospital LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Bothwell Regional Health Center CurrentSince Feb 1, 2025 Accepting new patients
Macon County Samaritan Hospital CurrentSince Feb 1, 2022 Accepting new patients
Community Medical Center, Inc. Current Accepting new patients
Great Plains of Cheyenne Co Inc CurrentSince Apr 26, 2025 Accepting new patients
Great Plains of Cheyenne Co. Inc Current Accepting new patients
Great Plains of Sabetha, Inc. Past Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

1829 College Ave
Manhattan, KS 66502
Phone (785) 776-5100

210 W 1st St
Saint Francis, KS 67756
Phone (785) 332-2104

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

2307 Barada St
Falls City, NE 68355
Phone (402) 245-2428

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1144280470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22432 DOC RHODES DR",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653556931",
            "telephone_number": "402-245-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015972",
            "telephone_number": "660-829-7744",
            "fax_number": "660-827-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100561",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2006032655",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.