GARY HAGEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1699765545

GARY HAGEN (CRNA) is a healthcare provider. based in Minnetonka, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 075186-7 (MN). The NPI Number for GARY HAGEN (CRNA) is 1699765545

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
GARY HAGEN (CRNA)
NPI
1699765545
Phone
(952) 935-8556
Address
16229 TEMPLE DR S
Enumeration Date
24 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635531142
Graduation Year
1976 (50 years ago)
PAC ID
1759360696
Group Practice PAC ID
9436439114
Professional Enrollment ID
I20040715000372
Address ID
MN553055509MI10709BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for GARY HAGEN (CRNA)

  • 16229, Temple Drive South, Minnetonka, Hennepin County, Minnesota, 55345, United States

    MINNETONKA, MN 553453462

    Phone: (952) 935-8556

    Type: Mailing

  • Golden Valley Road, Golden Valley, Meander Valley, Tasmania, Australia

    GOLDEN VALLEY, MN 554274488

    Phone: (763) 383-4150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040715000372ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery164157$0
00103Anesthesia for procedure on eyelid2626$0
00140Anesthesia for other procedure on eye2525$0
View full utilization report →

Insurance plans in this area (ZIP 55345)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436439114View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Is there an official ID for GARY HAGEN (CRNA) in U.S. healthcare records?
The official identifier for GARY HAGEN (CRNA) is NPI 1699765545.
Would GARY HAGEN (CRNA) appear as active to a payer?
You can treat GARY HAGEN (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with GARY HAGEN (CRNA)?
GARY HAGEN (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GARY HAGEN (CRNA)?
Travel planning: use Minnetonka, Minnesota as the reference point for GARY HAGEN (CRNA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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