Traci Hagen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A107752 Issued in IA

Practice address

715 W Milwaukee Ave
Storm Lake, IA 50588-1564

Phone

(712) 213-0109

Fax

(712) 213-0186

NPI assigned

Aug 18, 2016

Sex

Female

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 IA

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Community Health Center IncGroup PAC ID 1456362615, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thagen642821@direct.ochin.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IGGHAA

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.

• United Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Storm Lake, IA
  • NPI 1043268659
  Medicare reassignment Care Compare group NPD
• Sioux Valley Memorial Hospital Association

  • Family Medicine Physician
  • Aurelia, IA
  • NPI 1083610190
  NPD
• Sioux Valley Memorial Hospital Association

  • Certified Registered Nurse Anesthetist
  • Cherokee, IA
  • NPI 1275500704
  NPD

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

• Buena Vista Regional Medical Center

  • Critical Access Hospital
  • Storm Lake, IA
  • NPI 1134191653
  Care Compare affiliation

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1811442957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ROSARY DR",
            "address_2": "ATTN: LISA SMITH",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "508411683",
            "telephone_number": "641-322-5425",
            "fax_number": "641-322-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-213-0109",
            "fax_number": "712-213-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "TRACI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A107752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Grieme
• Jamie L Grieme, MNT
• Patricia M Grotjohn, MNT
• Guardian Pharmacy of Iowa LLC
• Emily Gutzmann
• Hamilton Medical Equipment Service Inc
• Christopher John Hansen, D.D.S.
• Gregory G Hansen
• Robbi Hansen
• Seth Harrer, MD

• Family Nurse Practitioner in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.