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MRS. DESTINY DAY HAGEN CRNA
NPI 1679874887
Nurse Anesthetist, Certified Registered in St Louis Park, MN

Active since November 04, 2010PECOS EnrolledAccepts Medicare Assignment
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-2750(952) 993-0300 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Destiny Day Hagen Crna NPPES

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

MRS. DESTINY DAY HAGEN CRNA (NPI 1679874887) is an individual nurse anesthetist, certified registered in St Louis Park, Minnesota, licensed in Minnesota (R 171531-0) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1679874887
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. DESTINY DAY HAGENCredential: CRNA
Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426-4702
Mailing AddressPo Box 650Minneapolis, MN 55440-0650 · (952) 993-2750 · Fax (952) 993-0300
Phone(952) 993-2750
Fax(952) 993-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 4, 2010
Last NPPES UpdateMarch 18, 2013
✔ NPI 1679874887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · R 171531-0
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.
6500 EXCELSIOR BLVD, St Louis Park, MN 55426
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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

Mrs. Destiny Day Hagen Crna 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 ID5193908952
PECOS Enrollment IDI20110331000837
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 Reassignment

Medicare enrollment records show Destiny Hagen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Methodist Hospital
Same address
Nurse Anesthetist, Certified Registered
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
  • Reassigned Medicare billing, Minnesota enrollment
  • 146 clinicians in this Medicare group
NPI 1083622047 (952) 993-5000

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.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

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.

NANCY COLE NELSON M.D.
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
DR. KATIE LYNN ANDRINAS MD, MPH
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
CARA HOULE MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5000
JANET GRAYSON MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6600
JEFFREY J SHULTZ
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3246
MARY BETH JOHNSON OTR/L
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6087
MARY KATHERINE KOSANDA P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6014
JENNIFER A DEUTZ P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5900

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 Destiny Hagen's NPI number?

The NPI number for Destiny Hagen is 1679874887. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is Destiny Hagen located?

Destiny Hagen practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-2750.

What is Destiny Hagen's specialty?

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

Is Destiny Hagen enrolled in Medicare?

Yes. Destiny Hagen 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 organization bills Medicare for Destiny Hagen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Hagen reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The 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 Destiny Hagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Destiny Hagen affiliated with any hospitals?

According to CMS data, Destiny Hagen is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Destiny Hagen was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.