Individual provider Active NPI

Arielle Nicole Hagner, PNP

  • Pediatric Nurse Practitioner
  • Seneca Falls, NY
National Provider Identifier
1558035204
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F383266-01 Issued in NY
Practice address
1991 Balsley Rd
Seneca Falls, NY 13148-6725
Phone
(315) 539-9229
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F383266-01 NY Primary

Addresses

Primary practice location

1991 Balsley Rd
Seneca Falls, NY 13148-6725

Mailing address

1024 Erie Street Rd
Macedon, NY 14502-9737
Phone (585) 690-3126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211021000919 NY Practitioner - Nurse Practitioner 6608264866 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F383266-01NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital, Inc CurrentSince Dec 1, 2022 Accepting new patients
Geneva General Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Soldiers & Sailors Memorial Hospital Past Accepting new patients
Geneva General Hospital Inc. Past Accepting new patients

Locations

196 North St
Geneva, NY 14456
Phone (315) 787-4156

196 North St
Ste 102
Geneva, NY 14456

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

Interoperability endpoints

  • Direct secure messaging: a.hagner@flhmedical.medentdirect.com

Organizations & group practices 5

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1558035204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 ERIE STREET RD",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029737",
            "telephone_number": "585-690-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131486725",
            "telephone_number": "315-539-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGNER",
        "first_name": "ARIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383266-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

Verify at the official NPI Registry.