Nicole R Hazelwood, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Missouri. 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.
Provider's Profile
Full Name | Nicole R Hazelwood |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 216 Elm St, Jackson, Missouri |
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Accepts Medicare Assignments | Yes. 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 attended and graduated from in
NPI Data:
- NPI Number: 1558504076
- Provider Enumeration Date: 04/14/2009
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole R Hazelwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558504076 | NPI | - | NPPES |
110375 | Other | MO | HEALTHLINK |
P00726014 | Other | MO | RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 041429789 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2002019453 (Missouri) | Primary |
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 Address | Practice 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 |
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