KIMBERLY HAGEDORN
NPI 1669832556
Nurse Practitioner - Gerontology in Cape Girardeau, MO

Active since March 04, 2016PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701(573) 334-9564(573) 334-1879 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Hagedorn NPPES

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

KIMBERLY HAGEDORN (NPI 1669832556) is an individual gerontology provider in Cape Girardeau, Missouri, licensed in Missouri (110790) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669832556
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKIMBERLY HAGEDORN
Location Address1349 N MOUNT AUBURN RDCape Girardeau, MO 63701-1727
Mailing Address1349 N Mount Auburn RdCape Girardeau, MO 63701-1727 · (573) 334-9564 · Fax (573) 334-1879
Fax(573) 334-1879
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 4, 2016
NPI 1669832556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MO · 110790
1349 N MOUNT AUBURN RD, Cape Girardeau, MO 63701

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

Kimberly Hagedorn 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 ID1951608454
PECOS Enrollment IDI20160329000790
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
616 services282 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
277 services221 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260113
Location1008 North Main StSikeston, MO 63801 · Scott County
Emergency services Birthing friendly

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260160
Location1200 N One Mile RdDexter, MO 63841 · Stoddard County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Nephrology)
1349 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Internal Medicine (Nephrology)
1349 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Nurse Practitioner
1349 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Nurse Practitioner (Family)
1349 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701

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 Kimberly Hagedorn's NPI number?

The NPI number for Kimberly Hagedorn is 1669832556. It was assigned to this individual provider in the NPPES registry on March 4, 2016.

Where is Kimberly Hagedorn located?

Kimberly Hagedorn practices at 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701. The listed phone number is (573) 334-9564.

What is Kimberly Hagedorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kimberly Hagedorn enrolled in Medicare?

Yes. Kimberly Hagedorn 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 Kimberly Hagedorn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Kimberly Hagedorn 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 Kimberly Hagedorn affiliated with any hospitals?

According to CMS data, Kimberly Hagedorn is affiliated with Mercy Hospital Southeast, Missouri Delta Medical Center, Poplar Bluff Regional Medical Center, Mercy Hospital Stoddard and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Hagedorn was last updated on March 4, 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.