Erin K Hagemeister, NP
Individual provider Active NPI Nurse Practitioner · Harvey, ND
NPI 1811065766 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1811065766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R28260 (ND)
- Practice address
- 922 Lincoln Ave
Harvey, ND 58341-1524 - Phone
- (701) 324-4856
- Fax
- (701) 324-4858
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Lifewise Associates LLC
Practice addresses (Care Compare)
210 Hwy 2 W
Suite 10
Devils Lake, ND 58301-2913
Phone (701) 662-1046
Hospital & facility affiliations
- Altru Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040827001066 | ND | Practitioner - Nurse Practitioner | 7810980836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R28260 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifewise Associates LLC | Current |
Accepting new patients |
Locations
210 Highway 2 W
Ste 10
Devils Lake, ND 58301
Phone (701) 662-1046
325 Brewster St E
Harvey, ND 58341
Phone (701) 324-4651
Interoperability endpoints
- lifewiseassociates.erinhagemeister@159709.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R28260 | ND | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19773 | Medicaid | ND | |
| 24680 | Other | ND | BLUE CROSS BLUE SHIELD |
Other providers in Harvey, ND
- Glenna Faul
- Amy Jo Felchle
- Brenda Jean Finley
- Genevieve E. Weber
- Robb J Gottenborg
- Delvin Lee Hansen
- Harvey Ambulance Service, Inc.
- Harvey Clinic, PC
- Harvey Dental Clinic PC
- Hav-It Services
All providers in Harvey, ND · Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.