JESSICA MAE VANDERHAGEN (FNP-C) – Family Nurse Practitioner, NPI 1871501734

JESSICA MAE VANDERHAGEN (FNP-C) is a healthcare provider. based in Glenwood, Minnesota. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials FNP-C. They hold a License No. R147910-6 (MN). The NPI Number for JESSICA MAE VANDERHAGEN (FNP-C) is 1871501734

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA MAE VANDERHAGEN (FNP-C)
NPI
1871501734
Phone
(320) 634-4521
Address
10 4TH AVE SE
Enumeration Date
4 August 2006
Last Update Date
15 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206345157
Graduation Year
2012 (14 years ago)
PAC ID
1254335680
Group Practice PAC ID
5294789194
Professional Enrollment ID
I20220601002767
Address ID
MN563341518GL417XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

251 CERTIFIED NURSE MIDWIFE (CNM) in MN

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Provider Addresses for JESSICA MAE VANDERHAGEN (FNP-C)

  • Glacial Ridge Hospital, 10, 4th Avenue Southeast, Glenwood, Pope County, Minnesota, 56334, United States

    GLENWOOD, MN 563341820

    Phone: (320) 634-4521

    Fax: (320) 634-2244

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Inari Medical, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (951 days ago).

Enrollment records

2

Earliest due date

2023-10-31

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
I20060828000045INurse PractitionerMN2023-10-31
I20220601002767ICertified Nurse Midwife (Cnm)MNTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56334)

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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: 5294789194View full group profile
NameSpecialtyState
Nurse PractitionerMN
O P T O M E T R YMN
General Practice, Emergency MedicineMN
Family PracticeMN
Ophthalmology, General PracticeMN
Certified Nurse Midwife (Cnm)SD
Physician AssistantMN
Nurse PractitionerMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Diagnostic RadiologyND

Reviews

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Frequently asked questions

How is JESSICA MAE VANDERHAGEN (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists JESSICA MAE VANDERHAGEN (FNP-C) with NPI 1871501734.
Is JESSICA MAE VANDERHAGEN (FNP-C) still practicing?
JESSICA MAE VANDERHAGEN (FNP-C) is currently listed as active in the public NPI registry.
What is JESSICA MAE VANDERHAGEN (FNP-C) best known for clinically?
Directory data describes JESSICA MAE VANDERHAGEN (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JESSICA MAE VANDERHAGEN (FNP-C) based?
JESSICA MAE VANDERHAGEN (FNP-C) is tied to Glenwood, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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