JON RICHARD VAN DER HAGEN MD
NPI 1326016171
Family Medicine in Brainerd, MN

Q: What is Jon Van Der Hagen's NPI number?

The NPI number for Jon Van Der Hagen is 1326016171. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Jon Van Der Hagen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Van Der Hagen was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 09, 2006PECOS Enrolled

523 N 3RD ST, BRAINERD, MN 56401(218) 829-2861 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jon Richard Van Der Hagen Md NPPES

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

JON RICHARD VAN DER HAGEN MD (NPI 1326016171) is an individual family medicine provider in Brainerd, Minnesota, licensed in Minnesota (29424) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326016171

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJON RICHARD VAN DER HAGENCredential: MD

Location Address523 N 3RD STBrainerd, MN 56401-3054

Mailing Address523 N 3rd StBrainerd, MN 56401-3054 · (218) 829-2861

Phone(218) 829-2861

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateJanuary 15, 2016

✔ NPI 1326016171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 29424

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

523 N 3RD ST, Brainerd, MN 56401

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB57292MN

Medicaid817882800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Richard Van Der 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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.

ALISHA K NESS DO

Hospitalist