Individual provider Active NPI

Christina Hagan, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1306431457
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
253257 Issued in AZ
Practice address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone
(602) 470-5000
NPI assigned
Mar 1, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 253257 AZ Primary

Addresses

Primary practice location

2929 E Thomas Rd
Phoenix, AZ 85016-8034

Mailing address

2211 W Harrison St
Chandler, AZ 85224-6957
Phone (404) 667-9645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20210421002235 AZ Practitioner - Nurse Practitioner 9638587173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3655 E Grant Rd
Tucson, AZ 85716-2933
Phone (520) 670-3909

7490 S Camino de Oeste
Tucson, AZ 85746-9308
Phone (520) 670-3909

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8940AZMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Sep 29, 2021 Accepting new patients
District Medical Group, Inc Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Apr 24, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Sep 29, 2021 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Apr 24, 2023 Accepting new patients
District Medical Group, Inc PastSince Jan 12, 2020 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

10144 W Lake Pleasant Pkwy
Ste 1110
Peoria, AZ 85382
Phone (623) 434-5748

15182 N 75th Ave
Ste 180
Peoria, AZ 85381
Phone (602) 567-7856

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 344-5287

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Fl 1
Phoenix, AZ 85008

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 101
Phoenix, AZ 85013

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Interoperability endpoints

  • Direct secure messaging: chagan232406@direct.valleywisehealth.org

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

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1306431457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W HARRISON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246957",
            "telephone_number": "404-667-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "253257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.