Daniel Hagerty, NP
Individual provider Active NPI Family Nurse Practitioner · Bagley, MN
NPI 1588046064 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1588046064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP55375 (NM)
- Practice address
- 1656 Central St W
Bagley, MN 56621-4357 - Phone
- (218) 694-2384
- NPI assigned
- Jun 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cavalier County Memorial Hospital Association
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
- Sanford Bagley Medical Center
- Cavalier County Memorial Hospital Association
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ND, MN, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP55375 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presentation Medical Center | Current |
Accepting new patients | |
| Cavalier County Memorial Hospital Association | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients | |
| Presentation Medical Center | Current |
Accepting new patients | |
| Cooperstown Medical Center | Current |
Accepting new patients | |
| Mercy Hospital of Valley City | Current |
Accepting new patients | |
| Cavalier County Memorial Hospital Association | Current |
Accepting new patients | |
| Cooperstown Medical Center | Current |
Accepting new patients | |
| Urgent Care of Soldotna Inc. | Current |
Accepting new patients | |
| Mercy Hospital | Current |
Accepting new patients | |
| Mercy Hospital of Valley City | Current | 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
203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939
1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1200 Roberts Ave NE
Cooperstown, ND 58425
Phone (701) 797-2128
107 12th St S
Cooperstown, ND 58425
Phone (701) 786-1700
909 2nd St
Langdon, ND 58249
Phone (701) 256-6100
901 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
- https://api.platform.athenahealth.com/20934/brand/1/csg/1/fhir/r4
- danhagerty@pmc.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201503793NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | CNP55375 | NM | Yes |
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
Other providers in Bagley, MN
- Katie Rose Ferry Olson
- First Care Medical Services
- David Andrew Galloway
- Brian Gary
- Isabelle Grover
- Tammy Rae Hanse
- Janet Rene Haugen
- Sarah Heider
- Michael T. Hill
- Melissa Nicole Jenson
All providers in Bagley, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.