CHARLES M HAGEDORN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144280470

CHARLES M HAGEDORN (CRNA) is a healthcare provider. based in Warsaw, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 100561 (NE). The NPI Number for CHARLES M HAGEDORN (CRNA) is 1144280470

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES M HAGEDORN (CRNA)
NPI
1144280470
Phone
(402) 245-8446
Address
22432 DOC RHODES DR
Enumeration Date
23 March 2006
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608268833
Graduation Year
1994 (32 years ago)
PAC ID
6002880374
Group Practice PAC ID
6103714126
Professional Enrollment ID
I20220225001592
Address ID
MO653015972SE601XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for CHARLES M HAGEDORN (CRNA)

  • 22432 DOC RHODES DR

    WARSAW, MO 653556931

    Phone: (402) 245-8446

    Type: Mailing

  • 601 E 14TH ST

    SEDALIA, MO 653015972

    Phone: (660) 829-7744

    Fax: (660) 827-7678

    Type: Location

  • 924, Patricia Drive, Falls City, Richardson County, Nebraska, 68355, United States

    FALLS CITY, NE 68355

    Phone: (402) 245-2980

    Type: Mailing

  • 2307, Barada Street, Falls City, Richardson County, Nebraska, 68355, United States

    CMC

    FALLS CITY, NE 68355

    Phone: (402) 245-2428

    Fax: (402) 245-6547

    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: 2022-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040823000835ICertified Registered Nurse Anesthetist (Crna)NETBD
I20051006000344ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20220225001592ICertified Registered Nurse Anesthetist (Crna)MOTBD

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.

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

Insurance plans in this area (ZIP 65355)

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Provider's Procedures

CHARLES M HAGEDORN (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETNE00142Anesthesia for lens surgery2929
CERTIFIED REGISTERED NURSE ANESTHETNE01402Anesthesia for open or endoscopic total knee joint replacement2221

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: 6103714126View full group profile
NameSpecialtyState
Internal MedicineMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
A N E S T H E S I O L O G YKS
A N E S T H E S I O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YAR
Hematology/Oncology, Internal MedicineMO
Certified Clinical Nurse Specialist (Cns)MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for CHARLES M HAGEDORN (CRNA)?
The registry entry for CHARLES M HAGEDORN (CRNA) shows NPI 1144280470.
Is CHARLES M HAGEDORN (CRNA)'s NPI status active today?
Active status means CHARLES M HAGEDORN (CRNA)'s NPI record is not deactivated in the public file.
What does the directory say CHARLES M HAGEDORN (CRNA) does?
Insurance directories may phrase it differently, but here CHARLES M HAGEDORN (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to CHARLES M HAGEDORN (CRNA)?
The directory associates CHARLES M HAGEDORN (CRNA) with Warsaw, Missouri. Check all listed addresses for suites or satellite offices.
Why is information missing for CHARLES M HAGEDORN (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.