CAITLYN HAGSTROM PA-C
NPI 1619649936
Physician Assistant in Golden Valley, MN

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
88.97/100
CMS Quality Rating
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422(763) 588-0661 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2022, Oct 5, 2021 (2 updates tracked since 2021).

About Caitlyn Hagstrom Pa-c NPPES

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

CAITLYN HAGSTROM PA-C (NPI 1619649936) is an individual physician assistant in Golden Valley, Minnesota and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Maple Grove.

NPPES Registry Identity

NPI1619649936
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAITLYN HAGSTROMCredential: PA-C
Location Address4225 GOLDEN VALLEY RDGolden Valley, MN 55422-4215
Mailing Address4225 Golden Valley RdGolden Valley, MN 55422-4215 · (763) 588-0661
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 5, 2021
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1619649936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4225 GOLDEN VALLEY RD, Golden Valley, MN 55422

Other Names 1

Former Name (1)Caitlyn Jolly

Secondary Practice Location 1

Location 19645 Grove Cir N Ste 100Maple Grove, MN 55369-2682 · Phone (763) 302-4114

Other Identifiers 1

Medicaid1619649936MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Caitlyn Hagstrom Pa-c 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 ID3577951680
PECOS Enrollment IDI20211021003196
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services11 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.89
Promoting Interoperability94
Improvement Activities40
Cost82.09

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.

Psychiatry & Neurology (Neurology)
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Psychiatry & Neurology (Neurology)
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Psychiatry & Neurology (Neurology)
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Clinical Neuropsychologist
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Physical Therapist
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Psychiatry & Neurology (Neurology)
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Psychiatry & Neurology (Neurology)
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Acute Care)
4225 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422

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 Caitlyn Hagstrom's NPI number?

The NPI number for Caitlyn Hagstrom is 1619649936. It was assigned to this individual provider in the NPPES registry on October 5, 2021. The provider is also known as Caitlyn Jolly.

Where is Caitlyn Hagstrom located?

Caitlyn Hagstrom practices at 4225 Golden Valley Rd, Golden Valley, MN 55422. The listed phone number is (763) 588-0661.

What is Caitlyn Hagstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Caitlyn Hagstrom enrolled in Medicare?

Yes. Caitlyn 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.

What insurance does Caitlyn Hagstrom accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Caitlyn Hagstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Caitlyn Hagstrom affiliated with any hospitals?

According to CMS data, Caitlyn Hagstrom is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Caitlyn Hagstrom was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.