Michael Hagen Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C171514 Issued in CA

Practice address

10956 Donner Pass Rd FL 2
Truckee, CA 96161-4861

Phone

(530) 582-6205

NPI assigned

Jun 16, 2011

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Texas a & M University System, HSC, College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tahoe Forest HHS Home health agency, Truckee, CA, CCN 057200
• Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
• Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301
• Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300

Merit-based Incentive Payment System (MIPS)

Final score

75.06 of 100Reported as group

Quality

83.97

Promoting interoperability

88

Improvement activities

40

Cost

42.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epic-fhir.mercy.net/PRDFHIRAOK2/TAO/api/FHIR/R4/
• Direct secure messaging: mhagen1132687@directa.mercy.net

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.

• Tahoe Forest Hospital District

  dba Tahoe Forest MultiSpecialty Clinics

  • Multi-Specialty Clinic/Center
  • Truckee, CA
  • NPI 1750412300
  Medicare reassignment Care Compare group NPD
• Tahoe Forest Hospital District

  • Family Medicine Physician
  • Truckee, CA
  • NPI 1063068930
  NPD
• Tahoe Forest Hospital District

  • Rural Health Clinic/Center
  • Truckee, CA
  • NPI 1760038772
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1326044140
  Care Compare affiliation
• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1982600920
  Care Compare affiliation
• Tahoe Forest Hospital District

  dba Tahoe Forest Hospital

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780
  Care Compare affiliation
• Tahoe Forest Hospital District

  • Home Health Agency
  • Truckee, CA
  • NPI 1831251933
  Care Compare affiliation
• Tahoe Forest Hospital District

  dba Incline Village Community Hospital

  • Critical Access Hospital
  • Incline Village, NV
  • NPI 1801957667
  Care Compare affiliation

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1811282932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD FL 2",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD FL 2",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C171514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karinna Guevara, MSC, LMFT
• Natalia Guevara, MSW, LCSW
• Matthew H Gustafsson, D.D.S, M.S.
• Vanessa Ivette Gutierrez, RN, PNP, CRNP
• Veronica Alejandra Gutierrez, MA, APCC, AMFT
• Curtis William Hague, PHARM.D.
• Robin A Hall, MSW, LCSW
• Lindara L Halloran, MD
• Melissa Harelson
• Tammy Lynn Harper, MS, MAC, LMHC, SUDP

• Family Medicine Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.