Individual provider Active NPI

Daniel Hagerty, NP

  • Family Nurse Practitioner
  • Bagley, MN
National Provider Identifier
1588046064
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP55375 Issued in NM
Practice address
1656 Central St W
Bagley, MN 56621-4357
Phone
(218) 694-2384
NPI assigned
Jun 22, 2015
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201503793NP-PP OR
Family Nurse Practitioner 363LF0000X CNP55375 NM Primary

Addresses

Primary practice location

1656 Central St W
Bagley, MN 56621-4357

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

18173 Redwood Hwy
PO Box 847
Selma, OR 97538-1257
Phone (541) 450-3625

Other practice location 2

813 Burrel Ave NW
Cooperstown, ND 58425
Phone (541) 373-7465

Other practice location 3

813 Burrel Ave NW
Cooperstown, ND 58425
Phone (541) 373-7465

Other practice location 4

10556 New Mexico 337
Tijeras, NM 87059-8607
Phone (541) 373-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, AK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170403002362 ND Practitioner - Nurse Practitioner 3173838133 Reassigns benefits to 5 organizations
I20180925001084 MN Practitioner - Nurse Practitioner 3173838133 Reassigns benefits to 2 organizations
I20201006000163 AK Practitioner - Nurse Practitioner 3173838133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6120

909 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP55375NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presentation Medical Center CurrentSince Nov 15, 2021 Accepting new patients
Urgent Care of Soldotna Inc. CurrentSince Sep 8, 2020 Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Mar 1, 2018 Accepting new patients
Mercy Hospital CurrentSince Sep 13, 2018 Accepting new patients
Mercy Hospital of Valley City Current Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Mar 1, 2018 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Cooperstown Medical Center CurrentSince Mar 15, 2017 Accepting new patients
Mercy Hospital of Valley City CurrentSince Sep 13, 2018 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Mar 6, 2025 Accepting new patients
Presentation Medical Center CurrentSince Nov 15, 2021 Accepting new patients
Cooperstown Medical Center CurrentSince Mar 15, 2017 Accepting new patients
Presentation Medical Center Past Accepting new patients

Locations

44604 Sterling Hwy
Ste D
Soldotna, AK 99669
Phone (907) 420-0476

3265 Solutions Ctr
Chicago, IL 60677

1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384

203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

107 12th St S
Cooperstown, ND 58425
Phone (701) 786-1700

1200 Roberts Ave NE
Cooperstown, ND 58425
Phone (701) 797-2128

901 2nd St
Langdon, ND 58249
Phone (701) 256-6120

909 2nd St
Langdon, ND 58249
Phone (701) 256-6100

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

301 5th St
Walhalla, ND 58282
Phone (701) 549-2711

Interoperability endpoints

  • Direct secure messaging: danhagerty@pmc.securechart.com
  • FHIR API: https://api.platform.athenahealth.com/20934/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1588046064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CENTRAL ST W",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566214357",
            "telephone_number": "218-694-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18173 Redwood Hwy",
            "address_2": "PO Box 847",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "OR",
            "postal_code": "975381257",
            "country_code": "US",
            "telephone_number": "541-450-3625",
            "fax_number": "541-291-9830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 Burrel Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "ND",
            "postal_code": "58425",
            "country_code": "US",
            "telephone_number": "541-373-7465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 Burrel Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "ND",
            "postal_code": "58425",
            "country_code": "US",
            "telephone_number": "541-373-7465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10556 New Mexico 337",
            "address_purpose": "LOCATION",
            "city": "Tijeras",
            "state": "NM",
            "postal_code": "870598607",
            "country_code": "US",
            "telephone_number": "541-373-7465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "DANIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201503793NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP55375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bagley, MN

Sources for this page

Verify at the official NPI Registry.