Nicole R Hazelwood, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, MO

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Nicole R Hazelwood, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Missouri. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Pemiscot County Memorial Hospital and her current practice location is 216 Elm St, Jackson, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 576-1903.

Nicole R Hazelwood is licensed to practice in Missouri (license number 2002019453) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558504076.

Contact Information

Nicole R Hazelwood, CRNA
216 Elm St,
Jackson, MO 63755-1708
(573) 576-1903
Not Available

Map and Direction




Provider's Profile

Full NameNicole R Hazelwood
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location216 Elm St, Jackson, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole R Hazelwood graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1558504076
  • Provider Enumeration Date: 04/14/2009
  • Last Update Date: 11/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688726383
  • Enrollment ID: I20090709000776

Medical Identifiers

Medical identifiers for Nicole R Hazelwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558504076NPI-NPPES
110375OtherMOHEALTHLINK
P00726014OtherMORAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 041429789 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 2002019453 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pemiscot County Memorial HospitalHayti, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pemiscot County Memorial Hospital842602415923

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole R Hazelwood allows following entities to bill medicare on her behalf.
Entity NameMid-america Anesthesia Consultants, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083728463
PECOS PAC ID: 6305837626
Enrollment ID: O20040524000952
Entity NamePemiscot County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578668661
PECOS PAC ID: 8426024159
Enrollment ID: O20070326000204
Entity NameDps Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649339607
PECOS PAC ID: 6901900075
Enrollment ID: O20070329000159
Entity NameAuburn Surgery Center Inc.
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1265431670
PECOS PAC ID: 2961567854
Enrollment ID: O20090209000625
Entity NameAcuity Anesthesiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134353030
PECOS PAC ID: 6305992652
Enrollment ID: O20090929000038
Entity NameGuardian Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215366307
PECOS PAC ID: 6608005111
Enrollment ID: O20140203001776
Entity NameAim Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245685601
PECOS PAC ID: 3971896705
Enrollment ID: O20160801001265
Entity NameAsc Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740873033
PECOS PAC ID: 4789099896
Enrollment ID: O20210224000314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole R Hazelwood is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole R Hazelwood, CRNA
216 Elm St,
Jackson, MO 63755-1708

Ph: (573) 576-1903		Nicole R Hazelwood, CRNA
216 Elm St,
Jackson, MO 63755-1708

Ph: (573) 576-1903

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jackson, MO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.