AMY HAGEN
NPI 1912557612
Nurse Practitioner in Everett, WA

Q: What is Amy Hagen's NPI number?

The NPI number for Amy Hagen is 1912557612. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Q: What is Amy Hagen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Hagen was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 13, 2019PECOS Enrolled

3927 RUCKER AVE, EVERETT, WA 98201(425) 259-0966 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2020, Sep 24, 2019, Sep 13, 2019 (3 updates tracked since 2019).

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About Amy Hagen NPPES

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

AMY HAGEN (NPI 1912557612) is an individual nurse practitioner in Everett, Washington, licensed in Washington (AP61002151) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912557612

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMY HAGEN

Location Address3927 RUCKER AVEEverett, WA 98201-4833

Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 339-5422

Phone(425) 259-0966

Sole ProprietorNo

Enumeration DateSeptember 13, 2019

Last NPPES UpdateDecember 2, 20203 updates tracked since enumeration

NPPES CertifiedDecember 2, 2020

✔ NPI 1912557612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61002151

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP61002151 (WA)

3927 RUCKER AVE, Everett, WA 98201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Hagen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

RAYNALD H IM M.D.

Family Medicine