TRENT WILLIAM HAGSTROM
NPI 1467175422
Nurse Anesthetist, Certified Registered in St Louis Park, MN

Active since September 23, 2022PECOS EnrolledAccepts Medicare Assignment
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-5000 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2023, Sep 23, 2022 (2 updates tracked since 2022).

About Trent William Hagstrom NPPES

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

TRENT WILLIAM HAGSTROM (NPI 1467175422) is an individual nurse anesthetist, certified registered in St Louis Park, Minnesota, licensed in Minnesota (2790) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Welia Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467175422
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTRENT WILLIAM HAGSTROM
Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426-4702
Mailing Address1778 Jonquil Ln NPlymouth, MN 55441-4021 · (612) 501-6794
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 23, 2022
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1467175422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 2790
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2458690 (MN)
6500 EXCELSIOR BLVD, St Louis Park, MN 55426

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

Trent William Hagstrom 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 ID3870964331
PECOS Enrollment IDI20230119001364
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

2

Medicare enrollment records show Trent Hagstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
  • Reassigned Medicare billing, Minnesota enrollment
  • 146 clinicians in this Medicare group
Critical Access
301 HIGHWAY 65 S
Mora, MN 55051
  • Reassigned Medicare billing, Minnesota enrollment
  • 126 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Welia Health

Critical Access Hospitals · Mora, MN
OwnershipGovernment - Local
CMS Certification Number241367
Location301 South Highway 65Mora, MN 55051 · Kanabec County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

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 Trent Hagstrom's NPI number?

The NPI number for Trent Hagstrom is 1467175422. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Trent Hagstrom located?

Trent Hagstrom practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.

What is Trent Hagstrom's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Trent Hagstrom enrolled in Medicare?

Yes. Trent Hagstrom 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 Trent Hagstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trent Hagstrom reassigns Medicare benefits to 2 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN) and Welia Health (Mora, 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 Trent Hagstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Trent Hagstrom affiliated with any hospitals?

According to CMS data, Trent Hagstrom is affiliated with Welia Health.

When was this NPI record last updated?

The NPPES record for Trent Hagstrom was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.