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MITCHELL HAGEN MD
NPI 1053808931
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Wayzata, MN

Active since April 17, 2018PECOS Enrolled
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391(763) 220-8030 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Apr 17, 2018 (2 updates tracked since 2018).

About Mitchell Hagen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL HAGEN MD (NPI 1053808931) is an individual otolaryngology/facial plastic surgery provider in Wayzata, Minnesota, licensed in Minnesota (73195) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053808931
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameMITCHELL HAGENCredential: MD
Location Address935 WAYZATA BLVD E STE 200Wayzata, MN 55391-2513
Mailing Address935 Wayzata Blvd E Ste 200Wayzata, MN 55391-2513 · (763) 220-8030
Phone(763) 220-8030
Sole ProprietorNo
Enumeration DateApril 17, 2018
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1053808931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MN · 73195
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 321271 (NY)
935 WAYZATA BLVD E STE 200, Wayzata, MN 55391
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Hagen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMNI FACIAL PLASTIC SURGERY
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (320) 559-4500
WAYZATA SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
DR. JOHN A NESS MD
Surgery (Plastic and Reconstructive Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
DR. BRYAN NICHOLAS ROLFES M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
OMNI MEDICAL CENTER PLLC
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
PINNACLE DERMATOLOGY, S.C.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 220-8030
MILES BICHANICH MD
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 237-5149
OMNI MEDICAL CENTER PLLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Hagen's NPI number?

The NPI number for Mitchell Hagen is 1053808931. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Mitchell Hagen located?

Mitchell Hagen practices at 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391. The listed phone number is (763) 220-8030.

What is Mitchell Hagen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Mitchell Hagen enrolled in Medicare?

Yes. Mitchell Hagen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitchell Hagen was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.