Individual provider Active NPI

Debra Helen Hagen, RN

  • Family Nurse Practitioner
  • Glen Gardner, NJ
National Provider Identifier
1780287003
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01333900 Issued in NJ
Practice address
7 Glenn Ave
Glen Gardner, NJ 08826-3629
Phone
(908) 310-6559
NPI assigned
Nov 19, 2020
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01333900 NJ Primary
Hospice Registered Nurse 163WH1000X 26NR10695300 NJ

Addresses

Primary practice location

7 Glenn Ave
Glen Gardner, NJ 08826-3629

Mailing address

450 Charlestown Rd
Hampton, NJ 08827-2535
Phone (908) 537-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 28, 2025 through Feb 28, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR10695300NJMDHospice Registered Nurse
26NJ01333900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morningstar Family Health Center PC PastSince Oct 30, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debra.hagen@593314999828484.direct.elationemr.com
  • Direct secure messaging: debra.hagen@6786249981956.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1780287003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CHARLESTOWN RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088272535",
            "telephone_number": "908-537-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLENN AVE",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263629",
            "telephone_number": "908-310-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "DEBRA",
        "middle_name": "HELEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01333900",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NJ",
            "license": "26NR10695300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Gardner, NJ

Sources for this page

Verify at the official NPI Registry.