Nolan Hagen, FNP-C
Individual provider Active NPI Nurse Practitioner · Grand Ledge, MI
NPI 1962298588 · NPPES record last updated Nov 26, 2025
Key facts
- NPI
- 1962298588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704363994NSA2507C (MI)
- Practice address
- 935 Charlevoix Dr Ste 200
Grand Ledge, MI 48837-2293 - Phone
- (517) 913-4043
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLaren Medical Group
Practice addresses (Care Compare)
935 Charlevoix Dr
Suite 200
Grand Ledge, MI 48837-2293
Phone (517) 913-4043
Hospital & facility affiliations
- McLaren Greater Lansing
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250714003729 | MI | Practitioner - Nurse Practitioner | 1254846751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704363994NSA2507C | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Family Medicine | Current |
Accepting new patients |
| McLaren Medical Group | Current |
Accepting new patients | |
| McLaren Medical Group | Family Medicine | Past | Accepting new patients |
Locations
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
935 Charlevoix Dr
Ste 200
Grand Ledge, MI 48837
Phone (517) 913-4043
6900 E Saginaw Hwy
Ste 130
Grand Ledge, MI 48837
Phone (517) 975-2040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704363994NSA2507C | MI | Yes |
Addresses
Primary practice location
935 Charlevoix Dr Ste 200
Grand Ledge, MI 48837-2293
Mailing address
10577 W Townsend Rd
Fowler, MI 48835-9112
Phone (517) 526-5296
Other providers in Grand Ledge, MI
- Grand Ledge Dental Center
- Grand Ledge Family Dentistry, PLLC
- Lauren Victoria Greene
- Katherine McGarvey Gute
- Julie Ann Haan
- Kristin L Hamilton
- Steven Dale Hampton
- Amy Lee Hanline
- Marnie Hansen
- David James Harkema
All providers in Grand Ledge, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.