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

Kaley Loraine Hagen, CNP

Individual provider Family Nurse Practitioner · NPI 1114665775

Kaley Loraine Hagen, CNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Geriatric Services of Minnesota LLC, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3433 Broadway St NE Ste 300
Minneapolis, MN 55413-1761
Phone: (763) 587-7737
Fax: (651) 383-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 811 2nd St Se, Little Falls, MN 56345-3559 — (320) 631-7000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9192 (MN)

Record details

NPI number1114665775
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Geriatric Services Of Minnesota Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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