Active NPI
Scott W Hagen, NP-C
- Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 17030
- Practice address
- 7014 N Whitney Ave
Fresno, CA 93720-0155 - Phone
- (559) 321-2858
- Fax
- (559) 321-2780
- NPI assigned
- Oct 30, 2007
- Last updated
- Sep 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 17030 | CA | Primary |
Addresses
Primary practice location
7014 N Whitney Ave
Fresno, CA 93720-0155
Mailing address
7014 N Whitney Ave
Fresno, CA 93720-0155
Phone (559) 321-2858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3830 N 1St St
Fresno, CA 93726-2328
4420 N 1St St
Suite 123
Fresno, CA 93726-2328
Phone (559) 231-5366
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17030 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todos Para la Salud | Current | Accepting new patients | |
| Todos Para la Salud | Current | Accepting new patients |
Locations
4420 N 1st St
Ste 123
Fresno, CA 93726
Phone (559) 231-5366
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCGBCD
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.
-
- Clinic/Center
- Fresno, CA
- NPI 1184164873
-
- Family Medicine Physician
- Fresno, CA
- NPI 1073321543
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Home Health Agency
- Clovis, CA
- NPI 1063979417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1679752315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7014 N WHITNEY AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200155",
"telephone_number": "559-321-2858",
"fax_number": "559-321-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7014 N WHITNEY AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200155",
"telephone_number": "559-321-2858",
"fax_number": "559-321-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "SCOTT",
"middle_name": "W",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-30",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "17030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.