DR. JODY LYNN HAGEN PHD
NPI 1962405563
Clinical Neuropsychologist in Springfield, MO

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
2115 S FREMONT AVE STE 3000, SPRINGFIELD, MO 65804(417) 820-7708 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jody Lynn Hagen Phd NPPES

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

DR. JODY LYNN HAGEN PHD (NPI 1962405563) is an individual clinical neuropsychologist in Springfield, Missouri, licensed in Missouri (2006010348) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1962405563
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. JODY LYNN HAGENCredential: PHD
Location Address2115 S FREMONT AVE STE 3000Springfield, MO 65804-2215
Mailing Address2115 S Fremont Ave Ste 3000Springfield, MO 65804-2215 · (417) 820-7708
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
NPI 1962405563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in MO · 2006010348
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2115 S FREMONT AVE STE 3000, Springfield, MO 65804

Secondary Practice Location 1

Location 110515 W Markham St, Suite B1Little Rock, AR 72205-2139 · Phone (501) 823-0589 · Fax (501) 255-1446

Other Identifiers 1

Other5Y075AR · Blue Cross/blue Shield

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

Dr. Jody Lynn Hagen Phd 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 ID42273260
PECOS Enrollment IDI20061122000196
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 5

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

Nurse Practitioner (Family)
2115 S FREMONT AVE STE 3000
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Epilepsy)
2115 S FREMONT AVE STE 3000
SPRINGFIELD, MO 65804
Clinical Neuropsychologist
2115 S FREMONT AVE STE 3000
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
2115 S FREMONT AVE STE 3000
SPRINGFIELD, MO 65804
Physician Assistant
2115 S FREMONT AVE STE 3000
SPRINGFIELD, MO 65804

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 Jody Hagen's NPI number?

The NPI number for Jody Hagen is 1962405563. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Jody Hagen located?

Jody Hagen practices at 2115 S Fremont Ave Ste 3000, Springfield, MO 65804. The listed phone number is (417) 820-7708.

What is Jody Hagen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jody Hagen enrolled in Medicare?

Yes. Jody 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.

What insurance does Jody Hagen accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Jody Hagen 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.

When was this NPI record last updated?

The NPPES record for Jody Hagen was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.