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

Trent William Hagstrom

Individual provider Registered Nurse · NPI 1467175422

Trent William Hagstrom is a Certified Registered Nurse Anesthetist (CRNA) in St Louis Park, Minnesota. Qualified in 2022, 4 years ago. Practices with Welia Health, a 60-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2790 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2458690 (MN)

Record details

NPI number1467175422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Welia Health — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Louis Park