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

Jamie Lynne Hagemann

Individual provider Nurse Practitioner · NPI 1104600683

Jamie Lynne Hagemann is a Nurse Practitioner in Ridgewood, New Jersey. Qualified in 2023, 3 years ago. Practices with Valley Physician Services PC, a 592-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone: (201) 447-8500
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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 26NJ14917400 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR19572500 (NJ)

Record details

NPI number1104600683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Valley Physician Services Pc — 592 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ridgewood