Individual provider Active NPI

Angela Marie Hagerty, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1750972030
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10000415 Issued in OR
Practice address
1600 NW 6TH St
N Ste
Grants Pass, OR 97526-1094
Phone
(541) 916-5500
Fax
(541) 916-5010
NPI assigned
Jan 29, 2021
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10000415 OR Primary

Addresses

Primary practice location

1600 NW 6TH St
N Ste
Grants Pass, OR 97526-1094

Mailing address

1600 NW 6TH St
N Ste
Grants Pass, OR 97526-1094
Phone (541) 916-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230126003417 OR Practitioner - Nurse Practitioner 0143623827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Family Practice LLCGroup PAC ID 8123356003, 2 clinicians

Practice addresses (Care Compare)

1600 NW 6TH St
Suite N
Grants Pass, OR 97526-1094
Phone (541) 916-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10000415ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Practice LLC CurrentSince Apr 11, 2024 Accepting new patients
Jon E. L. Ermshar, MD, PC PastSince Dec 28, 2022 Accepting new patients
Grants Pass Surgical Associates PC PastSince Apr 11, 2024 Accepting new patients

Locations

1600 NW 6th St
Grants Pass, OR 97526
Phone (541) 474-5533

1600 NW 6th St
Ste N
Grants Pass, OR 97526
Phone (503) 474-5533

1619 NW Hawthorne Ave
Ste 101
Grants Pass, OR 97526
Phone (541) 916-5500

Interoperability endpoints

  • Direct secure messaging: angelahagerty@ljohnnppc.allscriptsdirect.net
  • Direct secure messaging: angelahagerty@nwfp.allscriptsdirect.net

Organizations & group practices 3

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.

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1750972030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH ST",
            "address_2": "N STE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261094",
            "telephone_number": "541-916-5500",
            "fax_number": "541-916-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH ST",
            "address_2": "N STE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261094",
            "telephone_number": "541-916-5500",
            "fax_number": "541-916-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10000415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.