Active NPI
Victoria J Hagstrom, MD
- Family Medicine Physician
- Saint Charles, MN
National Provider Identifier
1316990971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38191
- Practice address
- 403 W 4TH St
St Charles, MN 55972-2127 - Phone
- (507) 932-3810
- NPI assigned
- May 17, 2006
- Last updated
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Family Medicine Physician | 207Q00000X | 38191 | MN | Primary |
Addresses
Primary practice location
403 W 4TH St
St Charles, MN 55972-2127
Mailing address
3143 Superior Dr NW Ste B
Rochester, MN 55901-2970
Phone (507) 258-4465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38191 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ladd Memorial Hospital | Past | Accepting new patients | |
| Olmsted Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Osceola Medical Center Scandia Clinic
- Clinic/Center
- Scandia, MN
- NPI 1700195542
-
- Clinic/Center
- Rochester, MN
- NPI 1952356297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1316990971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 SUPERIOR DR NW STE B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012970",
"telephone_number": "507-258-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W 4TH ST",
"city": "ST CHARLES",
"state": "MN",
"postal_code": "559722127",
"telephone_number": "507-932-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGSTROM",
"first_name": "VICTORIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "38191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MN
- Courtney Mae Beyer, DNP, APRN, CNP
- City of St. Charles (St. Charles Ambulance)
- Countys of Winona & Olmsted (St Charles #858)
- Jeffrey Devine, D.C.
- Madicen Fanslau, PHARM. D.
- Lindy S. Hankel, M.D.
- Hy-Vee Inc (Hy-Vee HealthMarket Rx (7075))
- Mary Katherine Kohn
- Lynette Marie Lamp, M.D.
- McBe Company (Weber & Judd - St. Charles)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.