Individual provider Active NPI

Erin K Hagemeister, NP

  • Nurse Practitioner
  • Harvey, ND
National Provider Identifier
1811065766
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R28260 Issued in ND
Practice address
922 Lincoln Ave
Harvey, ND 58341-1524
Phone
(701) 324-4856
Fax
(701) 324-4858
NPI assigned
Nov 30, 2006
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R28260 ND Primary

Addresses

Primary practice location

922 Lincoln Ave
Harvey, ND 58341-1524

Mailing address

317 1St Ave NW
PO Box 697
Kenmare, ND 58746-7104
Phone (701) 385-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20040827001066 ND Practitioner - Nurse Practitioner 7810980836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifewise Associates LLCGroup PAC ID 2264784008, 8 clinicians

Practice addresses (Care Compare)

210 Hwy 2 W
Suite 10
Devils Lake, ND 58301-2913
Phone (701) 662-1046

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewise Associates LLC CurrentSince Feb 27, 2019 Accepting new patients

Locations

210 Highway 2 W
Ste 10
Devils Lake, ND 58301
Phone (701) 662-1046

Interoperability endpoints

  • Direct secure messaging: lifewiseassociates.erinhagemeister@159709.advancedmd-direct.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.

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1811065766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 1ST AVE NW",
            "address_2": "PO BOX 697",
            "city": "KENMARE",
            "state": "ND",
            "postal_code": "587467104",
            "telephone_number": "701-385-4344",
            "fax_number": "701-385-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411524",
            "telephone_number": "701-324-4856",
            "fax_number": "701-324-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMEISTER",
        "first_name": "ERIN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R28260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, ND

Sources for this page

Verify at the official NPI Registry.