Individual provider Active NPI

Kathleen Rosenhagen, NP

  • Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1902917404
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN177514 Issued in GA
Practice address
305 Uptown SQ
Murfreesboro, TN 37129-0574
Phone
(615) 904-1650
Fax
(615) 904-0598
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN177514 GA Primary

Addresses

Primary practice location

305 Uptown SQ
Murfreesboro, TN 37129-0574

Mailing address

305 Uptown SQ
Murfreesboro, TN 37129-0574
Phone (615) 904-1650

Other names 1

  • Katie Rosenhagen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20190426001560 TN Practitioner - Nurse Practitioner 8921025222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtngyn PLLCGroup PAC ID 8921355827, 2 clinicians

Practice addresses (Care Compare)

305 Uptown SQ
Murfreesboro, TN 37129-0574
Phone (615) 904-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8308TNMDPhysical Therapist
RN177514GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtngyn PLLC CurrentSince Mar 25, 2019 Accepting new patients

Locations

305 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 904-1650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCBBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1902917404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290574",
            "telephone_number": "615-904-1650",
            "fax_number": "615-904-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290574",
            "telephone_number": "615-904-1650",
            "fax_number": "615-904-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENHAGEN",
        "first_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN177514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ROSENHAGEN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.