Individual provider Active NPI

Heather Lynn Hagan, MSN, NP-C

  • Nurse Practitioner
  • Webster, TX
National Provider Identifier
1689178006
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP136747 Issued in TX
Practice address
1015 W Medical Center Blvd Ste 1100
Webster, TX 77598-4055
Phone
(281) 316-8888
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X 839574 TX
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X AP136747 TX Primary

Addresses

Primary practice location

1015 W Medical Center Blvd Ste 1100
Webster, TX 77598-4055

Mailing address

13703 Corken Way CT
Houston, TX 77034-2365
Phone (409) 781-0146

Other practice location 1

6565 West Loop S Ste 800
Bellaire, TX 77401-3505
Phone (713) 661-4383

Other practice location 2

3344 E Fm 528 Rd Ste A
Friendswood, TX 77546-5012
Phone (281) 993-2225

Other identifiers 1

IdentifierTypeStateIssuer
AP136747OtherTXAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180605001644 TX Practitioner - Nurse Practitioner 8527206671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Em-I Medical Services PAGroup PAC ID 6507760543, 24 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (954) 939-5000

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpesh D. Desai, D.O. P.a. Single Specialty CurrentSince Oct 16, 2020 Accepting new patients
Chambers County Public Hospital District No 1 CurrentSince Feb 1, 2021 Accepting new patients
Chambers County Public Hospital District No. 1 CurrentSince Feb 1, 2021 Accepting new patients
Chambers County Public Hospital District No 1 Single Specialty Current Accepting new patients
Dorrington Medical Associates, PA Single Specialty CurrentSince Dec 1, 2005 Accepting new patients
Texas Em-I Medical Services PA Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Silverlake Pediatric Clinic, PA PastSince May 30, 2026 Accepting new patients
Singleton Associates PA Single Specialty Past Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2120 Ashland St
Houston, TX 77008
Phone (713) 864-2659

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1689178006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13703 CORKEN WAY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770342365",
            "telephone_number": "409-781-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W MEDICAL CENTER BLVD STE 1100",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984055",
            "telephone_number": "281-316-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 West Loop S Ste 800",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774013505",
            "country_code": "US",
            "telephone_number": "713-661-4383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3344 E Fm 528 Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775465012",
            "country_code": "US",
            "telephone_number": "281-993-2225",
            "fax_number": "281-993-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "839574",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP136747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.