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

Individual provider Gerontology Nurse Practitioner · NPI 1669832556

Kimberly Hagedorn is a Nurse Practitioner in Cape Girardeau, Missouri. Qualified in 2015, 11 years ago. Practices with Missouri Delta Medical Center, a 131-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2016
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Practice location Address checks out

1349 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone: (573) 334-9564
Fax: (573) 334-1879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 110790 (MO)

Record details

NPI number1669832556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2016
Last updated in NPPESMarch 4, 2016
Mailing address1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Missouri Delta Medical Center — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cape Girardeau