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MS. ANGIE LE'ALICE HAGAN CPM CNP NPI 1629307194


NPI Information

NPI: 1629307194
Provider Name: MS. ANGIE LE'ALICE HAGAN, CPM, CNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1511 S LIME ST
DEMING, NM
ZIP 88030
Phone: (575) 538-2981
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MS. Angie Le'alice Hagan, CPM, CNP is a primary care nurse practitioner in Deming, NM with 8 years of experience. MS. Angie Le'alice Hagan, CPM, CNP NPI is 1629307194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1511 S LIME ST
DEMING, NM
ZIP 88030-207
Phone: (575) 538-2981
Fax: (855) 653-5023

The NPI 1629307194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 12/13/2009 and was last updated on 4/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral PracticeCNP-02963NEW MEXICONo
2176B00000XMidwife02431RNEW MEXICONo
3363LP2300XNurse PractitionerPrimary CareCNP-02963NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.