Individual provider Active NPI

Nicholas Hagan

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1821510587
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2017014828 Issued in MO
Practice address
1511 Chapel Hill Rd
Columbia, MO 65203-5475
Phone
(573) 446-2242
Fax
(573) 446-5575
NPI assigned
Jul 13, 2017
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2017014828 MO Primary

Addresses

Primary practice location

1511 Chapel Hill Rd
Columbia, MO 65203-5475

Mailing address

1511 Chapel Hill Rd
Columbia, MO 65203-5475
Phone (573) 446-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Health and Wellness Chiropractor CurrentSince Nov 17, 2019 Accepting new patients
Advanced Physical Health, P.C. Chiropractor CurrentSince Jul 1, 2026 Accepting new patients

Locations

1511 Chapel Hill Rd
Columbia, MO 65203
Phone (573) 446-2242

1511 Chapel Hill Rd
Ste 200
Columbia, MO 65203

203 N Providence Rd
Ste 201
Columbia, MO 65203
Phone (573) 639-7222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1821510587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035475",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035475",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017014828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.