Individual provider Active NPI

Jenna Kathryn Hage, FNP-C

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1366172801
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184052 Issued in VA
Practice address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone
(855) 242-8282
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184052 VA Primary
Family Nurse Practitioner 363LF0000X 95035018 CA
Family Nurse Practitioner 363LF0000X APRN.CNP.0040961 OH

Addresses

Primary practice location

200 Oceangate Ste 100
Long Beach, CA 90802-4317

Mailing address

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (540) 216-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI, WA, FL, SC, KY, CT, CA, TX, OH, WI, UT, NM13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20220712001940 VA Practitioner - Nurse Practitioner 8426438185
I20220910000623 MI Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20231115000652 WA Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20240805002624 FL Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20241016003866 SC Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20250217000371 KY Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20250423001143 CT Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20250612002397 CA Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 2 organizations
I20250716000511 TX Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20260121001245 OH Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20260211002829 WI Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20260218001492 UT Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization
I20260220000574 NM Practitioner - Nurse Practitioner 8426438185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

2916 Laurel Glen Rd
Vinton, VA 24179-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0040961OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince May 28, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince May 28, 2025 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Nov 2, 2023 Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince Feb 2, 2026 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: jhage13552@direct-prd.molinahealthcare.com
  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1366172801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "540-216-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "855-242-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGE",
        "first_name": "JENNA",
        "middle_name": "KATHRYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184052",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0040961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.