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KALEY LORAINE HAGEN CNP
NPI 1114665775
Nurse Practitioner - Family in Minneapolis, MN

Active since May 24, 2022PECOS EnrolledAccepts Medicare Assignment
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413(763) 587-7737(651) 383-4551 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaley Loraine Hagen Cnp NPPES

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

KALEY LORAINE HAGEN CNP (NPI 1114665775) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (9192) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Falls, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114665775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALEY LORAINE HAGENCredential: CNP
Location Address3433 BROADWAY ST NE STE 300Minneapolis, MN 55413-1761
Mailing Address9561 7th St SeSaint Cloud, MN 56304-9701 · (612) 619-8184
Phone(763) 587-7737
Fax(651) 383-4551
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 24, 2022
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1114665775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 9192
3433 BROADWAY ST NE STE 300, Minneapolis, MN 55413
Open in Google Maps ↗

Secondary Practice Location 1

Location 1811 2nd St SELittle Falls, MN 56345-3559 · Phone (320) 631-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaley Loraine Hagen Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931579711
PECOS Enrollment IDI20230112001947
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kaley Hagen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genevive Aco LLC
Same address
Hospice and Palliative Medicine
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 44 clinicians in this Medicare group
NPI 1053200543 (763) 587-7737
Geriatric Services Of Minnesota, LLC
Same address
Geriatric Medicine
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 46 clinicians in this Medicare group
NPI 1093131419 (763) 587-7737
Unity Family Healthcare
79 mi
Family Medicine
320 3RD AVE
Albany, MN 56307
  • Reassigned Medicare billing, Minnesota enrollment
  • 205 clinicians in this Medicare group
NPI 1093753642 (320) 845-2157

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55413 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 20

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

NATALIE COWELL
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
MS. JUDY LEE PALMER ANP
Nurse Practitioner (Adult Health)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
RENEE K DOERING G.N.P
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
JENNIFER VOSS DNP, RN
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
AMY KAMMERER
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
KELLI BRONDER APRN,CNP,RN
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
GENEVIVE ACO LLC
Family Medicine (Hospice and Palliative Medicine)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
ELIZABETH A TOTH NP
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737

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 Kaley Hagen's NPI number?

The NPI number for Kaley Hagen is 1114665775. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Kaley Hagen located?

Kaley Hagen practices at 3433 Broadway St NE Ste 300, Minneapolis, MN 55413. The listed phone number is (763) 587-7737.

What is Kaley Hagen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaley Hagen enrolled in Medicare?

Yes. Kaley Hagen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kaley Hagen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaley Hagen reassigns Medicare benefits to 3 organizations: Genevive Aco LLC (Minneapolis, MN), Geriatric Services Of Minnesota, LLC (Minneapolis, MN) and Unity Family Healthcare (Albany, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaley Hagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaley Hagen was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.