Individual Healthcare Provider
Marie Hagman, APN, CNS
Provider's NPPES record last updated: October 2, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164800603
- Primary Specialty
- Clinical Nurse Specialist — Critical Care Medicine
- Practice Location
- Park Ridge, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:41 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinical Nurse Specialist
Critical Care Medicine
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SC0200X Clinical Nurse Specialist
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SA2100X
Provider-Reported License Information
- Clinical Nurse Specialist (Illinois)
- 209-012490
- Clinical Nurse Specialist (Illinois)
- 209.012490
Practice Locations
Practice Location
1875 Dempster St Ste 525
Park Ridge, Illinois 60068-1130
Phone: (847) 698-3600
Additional Practice Location
1775 Dempster St
Park Ridge, Illinois 60068-1143
Phone: (847) 723-5731
Record Information
- Enumeration Date
- May 17, 2015
- Provider's NPPES Record Last Updated
- October 2, 2023
- Certification Date
- October 2, 2023
- NPISignal NPPES Dataset
- August 2026
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