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MELISSA MAE HAGMAN MD
NPI 1649355447
Internal Medicine - Hospice and Palliative Medicine in Boise, ID

Active since October 27, 2006PECOS Enrolled
500 W. FORT ST, # 111R, BOISE, ID 83702(208) 422-1000(208) 422-1319 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Mae Hagman Md NPPES

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

MELISSA MAE HAGMAN MD (NPI 1649355447) is an individual hospice and palliative medicine provider in Boise, Idaho, licensed in Idaho (M-11626) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649355447
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameMELISSA MAE HAGMANCredential: MD
Location Address500 W. FORT ST, # 111RBoise, ID 83702
Mailing Address500 W. Fort St, # 111rBoise, ID 83702 · (208) 422-1000 · Fax (208) 422-1319
Phone(208) 422-1000
Fax(208) 422-1319
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1649355447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Licenses✔ Licensed in ID · M-11626✔ Licensed in WA · MD00040136
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD00040136 (WA)
500 W. FORT ST, Boise, ID 83702
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Other Identifiers 2

Other193980Internal Id-motor Vehicle Id
Medicaid8364945WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Mae Hagman 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.

Other Providers at the Same Location NPPES 7

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

SARAH HAYDEN PA
Physician Assistant
500 W. FORT ST, # 111
BOISE, ID 83702
Ada County (208) 422-1000
STEVEN J FONKEN MD
Internal Medicine (Cardiovascular Disease)
500 W. FORT ST, # 111
BOISE, ID 83702
Ada County (208) 422-1000
MRS. ANNIE C FIFE NP
Nurse Practitioner (Women's Health)
500 W. FORT ST
BOISE, ID 83702
Ada County (208) 422-7760
JEAN M. KIM PHD
Psychologist (Clinical)
500 W. FORT ST, CRH, 2ND FLOOR
BOISE, ID 83702
Ada County (208) 422-1018
BRIAN E. COTHERN MD
Family Medicine
500 W. FORT ST, CALDWELL CBOC
BOISE, ID 83702
Ada County (208) 422-1000
ANGELA HOFFMAN RADIMER PA
Physician Assistant (Medical)
500 W. FORT ST, # 111
BOISE, ID 83702
Ada County (208) 422-1000
RICK WRIGHT D.O.
Emergency Medicine
500 W. FORT ST, EMERGENCY DEPT.
BOISE, ID 83702
Ada County (208) 422-1000

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 Melissa Hagman's NPI number?

The NPI number for Melissa Hagman is 1649355447. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Melissa Hagman located?

Melissa Hagman practices at 500 W. Fort St # 111R, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Melissa Hagman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Melissa Hagman enrolled in Medicare?

Yes. Melissa Hagman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Hagman was last updated on March 11, 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.