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KARISSA M HAGEN NP
NPI 1417535717
Nurse Practitioner - Acute Care in Columbia, SC

Active since March 30, 2021
14 MEDICAL PARK DRIVE SUITE 320, COLUMBIA, SC 29203(803) 434-6771(803) 434-3955 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2021, Mar 30, 2021 (2 updates tracked since 2021).

About Karissa M Hagen Np NPPES

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

KARISSA M HAGEN NP (NPI 1417535717) is an individual acute care provider in Columbia, South Carolina, licensed in South Carolina (24338) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1417535717
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKARISSA M HAGENCredential: NP
Location Address14 MEDICAL PARK DRIVE SUITE 320Columbia, SC 29203
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 434-6771
Fax(803) 434-3955
Sole ProprietorYes
Enumeration DateMarch 30, 2021
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1417535717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in SC · 24338
14 MEDICAL PARK DRIVE SUITE 320, Columbia, SC 29203
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Other Names 1

Former Name (1)Karissa M Noffke

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 Karissa Hagen's NPI number?

The NPI number for Karissa Hagen is 1417535717. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Karissa Hagen located?

Karissa Hagen practices at 14 Medical Park Drive Suite 320, Columbia, SC 29203. The listed phone number is (803) 434-6771.

What is Karissa Hagen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Karissa Hagen was last updated on July 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.