Shane Hagen, DNP, AGACNP, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-81393-121 Issued in KS

Practice address

7709 W 151St St
Overland Park, KS 66223-2219

Phone

(916) 600-5808

Fax

(913) 600-5838

NPI assigned

Jul 6, 2016

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

82.56 of 100Reported as group

Quality

76.07

Promoting interoperability

100

Improvement activities

40

Cost

65.79

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: valorkc@org179.direct.charmhealth.com

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.

• Valor Wellness and Aesthetics

  • Health Service Clinic/Center
  • Overland Park, KS
  • NPI 1336994508
  NPD Authorized official
• Saint Luke's Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1841642535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232219",
            "telephone_number": "816-447-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232219",
            "telephone_number": "916-600-5808",
            "fax_number": "913-600-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "SHANE",
        "credential": "DNP, AGACNP, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81393-121",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2016000962",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019001965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Lynn Hadlock, D.C.
• Rebecca Louise Haessig, LMFT-T
• Sam Hafner
• David M Hagar
• Douglas W. Hagen, MD
• Mindy Margaret Hager, LPC
• Addison Elizabeth Hagge, RD
• Megan Haghnegahdar, MD
• Juliana Elizabeth Hahn
• Kelsy Haider

• Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.