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AMY HAGEN
NPI 1912557612
Nurse Practitioner in Everett, WA

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: October 25, 2026.

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

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Seahurst Chiropractic Clinic Inc.
35 mi
Chiropractor
120 SW 160TH ST
Burien, WA 98166
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1316146319 (206) 242-8211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
MR. FLORIE GONZALES JR. OTR/L, CHT
Occupational Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5491
KELLY L WHITEHILL
Clinical Nurse Specialist (Medical-Surgical)
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5480
DR. KURT R. DUFFENS M.D.
Internal Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
SHANNON E LONG PT, DPT
Physical Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5419
MARY E MITCHELL PA
Physician Assistant (Medical)
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
EDWARD R BAUER CRNA
Nurse Anesthetist, Certified Registered
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 259-0966
FANTAHUN MULUGETA TEDLA P.A-C
Physician Assistant
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422

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 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.

Where is Amy Hagen located?

Amy Hagen practices at 3927 Rucker Ave, Everett, WA 98201. The listed phone number is (425) 259-0966.

What is Amy Hagen's specialty?

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

Is Amy Hagen enrolled in Medicare?

Yes. Amy Hagen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Hagen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Hagen reassigns Medicare benefits to Seahurst Chiropractic Clinic Inc. (Burien, WA). 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 Amy Hagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.