ANALISE ELISABETH HAGSTROM NP
NPI 1104296409
Nurse Practitioner in Mill Valley, CA

Q: What is Analise Hagstrom's NPI number?

The NPI number for Analise Hagstrom is 1104296409. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Q: What is Analise Hagstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Analise Hagstrom was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since September 29, 2015PECOS Enrolled

591 REDWOOD HWY FRONTAGE RD STE 5215, MILL VALLEY, CA 94941(415) 381-5400 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Nov 13, 2024, Nov 8, 2024 and 1 more (4 updates tracked since 2015).

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About Analise Elisabeth Hagstrom Np NPPES

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

ANALISE ELISABETH HAGSTROM NP (NPI 1104296409) is an individual nurse practitioner in Mill Valley, California, licensed in California (95003570) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104296409

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANALISE ELISABETH HAGSTROMCredential: NP

Location Address591 REDWOOD HWY FRONTAGE RD STE 5215Mill Valley, CA 94941-3016

Mailing Address101 H St Ste GPetaluma, CA 94952-5100 · (773) 344-2864 · Fax (415) 907-9183

Phone(415) 381-5400

Sole ProprietorNo

Enumeration DateSeptember 29, 2015

Last NPPES UpdateOctober 22, 20254 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1104296409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95003570

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 209012443 (IL)

591 REDWOOD HWY FRONTAGE RD STE 5215, Mill Valley, CA 94941

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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)

Analise Elisabeth Hagstrom Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Analise Hagstrom's NPI number?

The NPI number for Analise Hagstrom is 1104296409. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Analise Hagstrom located?

Analise Hagstrom practices at 591 Redwood Hwy Frontage Rd Ste 5215, Mill Valley, CA 94941. The listed phone number is (415) 381-5400.

What is Analise Hagstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Analise Hagstrom enrolled in Medicare?

Yes. Analise Hagstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Analise Hagstrom was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.