Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlene Michelle Hagen, CNP

Individual provider Nurse Practitioner · NPI 1306154463

Charlene Michelle Hagen, CNP is a Nurse Practitioner in Farmington, New Mexico. Qualified in 2010, 16 years ago. Practices with San Juan Medical Group PC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
16
Licensed in
NM
In the registry since
2010
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

622 W Maple St Ste B
Farmington, NM 87401-6590
Phone: (505) 327-4867
Fax: (505) 327-5355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP-01673 (NM)

Record details

NPI number1306154463
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 22, 2010
Last updated in NPPESSeptember 22, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice San Juan Medical Group Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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