Jennifer Rae Hagan, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5011104 Issued in NC

Practice address

138 Dublin Square Rd Ste B
Asheboro, NC 27203-8601

Phone

(336) 610-1300

Fax

(336) 419-0509

NPI assigned

Oct 17, 2018

Last updated

Oct 17, 2018By 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

Medicare fee-for-service enrollment

Enrolled in NC

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizon Internal Medicine PLLCGroup PAC ID 0446391544, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Mebane, NC, CCN 347122
• Bayada Home Health Care, Inc Home health agency, Winston-Salem, NC, CCN 347187
• Well Care Home Health, Inc Home health agency, Raleigh, NC, CCN 347192
• Amedisys Home Health Home health agency, Durham, NC, CCN 347110

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Internal Medicine PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1033353941
  Medicare reassignment Care Compare group NPD
• NC Elder Care PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1962948240
  Medicare reassignment NPD

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

• Adoration Home Health Care Virginia LLC

  dba Adoration Home Health

  • Home Health Agency
  • Mebane, NC
  • NPI 1689641144
  Care Compare affiliation
• Amedisys North Carolina, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Durham, NC
  • NPI 1083669873
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Winston Salem, NC
  • NPI 1720347701
  Care Compare affiliation
• Well Care Home Health of the Triangle

  • Home Health Agency
  • Raleigh, NC
  • NPI 1811998990
  Care Compare affiliation

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1255807269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 DUBLIN SQUARE RD STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038601",
            "telephone_number": "336-610-1300",
            "fax_number": "336-419-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DUBLIN SQUARE RD STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038601",
            "telephone_number": "336-610-1300",
            "fax_number": "336-419-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5011104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Forrest Griffin
• Greg Alan Grisso, MD
• Brittany Smith Groseclose, PT
• Holly Gudino, MSW LCSWA
• Tara Graves Gunter, NP
• Wanda Hailey, LPCA
• Erin Kristal Halkyer, MSW,LCASA
• Meghan M. Hall, PA-C
• Mark Hamilton
• Lauryn Elisabeth Hammer

• Adult Health Nurse Practitioner in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.