KRISTOFFER L HAGEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053752782

KRISTOFFER L HAGEN (CRNA) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 160648-30 (WI). The NPI Number for KRISTOFFER L HAGEN (CRNA) is 1053752782

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOFFER L HAGEN (CRNA)
NPI
1053752782
Phone
(920) 426-2211
Address
3420 JACKSON ST
Enumeration Date
10 July 2013
Last Update Date
10 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202232000
Graduation Year
2013 (13 years ago)
PAC ID
1153563028
Group Practice PAC ID
8628103777
Professional Enrollment ID
I20130806000821
Address ID
WI549047944OS500XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for KRISTOFFER L HAGEN (CRNA)

  • 3420 JACKSON ST

    SUITE E

    OSHKOSH, WI 549018144

    Phone: (920) 426-2211

    Type: Mailing

  • 500 S OAKWOOD RD

    OSHKOSH, WI 549047944

    Phone: (920) 223-2000

    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: 2013-08-06

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
I20130806000821ICertified Registered Nurse Anesthetist (Crna)WITBD

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 surgery2422$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 54901)

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Provider's Procedures

KRISTOFFER L HAGEN (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 ANESTHETWI00142Anesthesia for lens surgery179167

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: 8628103777View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Pain Management, AnesthesiologyIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YWI

Reviews

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Frequently asked questions

Does KRISTOFFER L HAGEN (CRNA) have a public NPI I can cite?
Public records show KRISTOFFER L HAGEN (CRNA) under NPI 1053752782.
Does the public listing show KRISTOFFER L HAGEN (CRNA) as active?
KRISTOFFER L HAGEN (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does KRISTOFFER L HAGEN (CRNA) provide?
KRISTOFFER L HAGEN (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to KRISTOFFER L HAGEN (CRNA)?
The directory associates KRISTOFFER L HAGEN (CRNA) with Oshkosh, Wisconsin. Check all listed addresses for suites or satellite offices.
Who maintains KRISTOFFER L HAGEN (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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