Individual provider Active NPI

Brandi Michelle Hagmann, RN, FNP-BC

  • Family Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1790519189
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029747 Issued in FL
Practice address
289 SW Stonegate Ter Ste 103
Lake City, FL 32024-3457
Phone
(386) 755-1655
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9413777 FL
Family Nurse Practitioner 363LF0000X 11029747 FL Primary

Addresses

Primary practice location

289 SW Stonegate Ter Ste 103
Lake City, FL 32024-3457

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245

Other practice location 1

17120 Primavera Cir
Cape Coral, FL 33909-3023
Phone (239) 791-6957

Other practice location 2

25092 Olympia Ave
Punta Gorda, FL 33950-3935
Phone (941) 575-0123

Other practice location 3

4520 W US Highway 90
Lake City, FL 32055-8341
Phone (386) 755-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251223001705 FL Practitioner - Nurse Practitioner 1850886227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1510 E Herndon Ave
Suite 310
Fresno, CA 93720-3393

PO Box
Atlanta, GA 31193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9413777FLMDRegistered Nurse
11029747FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care of North Florida PA CurrentSince Oct 27, 2025 Accepting new patients
Lake City Cancer Care LLC CurrentSince Oct 27, 2025 Accepting new patients
Douglas H Joyce DO PA Past Accepting new patients

Locations

289 SW Stonegate Ter
Ste 103
Lake City, FL 32024
Phone (386) 755-1655

4520 W US Highway 90
Lake City, FL 32055
Phone (386) 755-0601

104 Woodmont Blvd
Ste 500
Nashville, TN 37205
Phone (615) 467-7400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1790519189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 SW STONEGATE TER STE 103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243457",
            "telephone_number": "386-755-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17120 Primavera Cir",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339093023",
            "country_code": "US",
            "telephone_number": "239-791-6957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25092 Olympia Ave",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503935",
            "country_code": "US",
            "telephone_number": "941-575-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 W US Highway 90",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320558341",
            "country_code": "US",
            "telephone_number": "386-755-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGMANN",
        "first_name": "BRANDI",
        "middle_name": "MICHELLE",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9413777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.