Individual provider Active NPI

Khaki Renee Hazzlerigg, FNP-C

  • Family Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1043742471
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
249948 Issued in AK
Practice address
35671 Kenai Spur Hwy
Soldotna, AK 99669-7627
Phone
(907) 260-1655
Fax
(855) 854-8577
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 249948 AK Primary

Addresses

Primary practice location

35671 Kenai Spur Hwy
Soldotna, AK 99669-7627

Mailing address

303 W Arlington Ave
Soldotna, AK 99669-7318
Phone (225) 603-5287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170613000700 LA Practitioner - Nurse Practitioner 5294003430 Reassigns benefits to 4 organizations
I20260413002589 AK Practitioner - Nurse Practitioner 5294003430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, shared by 4 NPIs, 189 clinicians
River Health and Wellness, LLCGroup PAC ID 2163754540, 3 clinicians

Practice addresses (Care Compare)

3401 N Blvd
Baton Rouge, LA 70806-3743
Phone (225) 387-0851

35671 Kenai Spur Hwy
Soldotna, AK 99669-7627
Phone (907) 260-1655

8595 Picardy Ave
Suite 320
Baton Rouge, LA 70809-3675
Phone (225) 237-1880

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Health & Wellness, LLC. CurrentSince May 8, 2026 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Feb 24, 2020 Accepting new patients
Professional Emergency Physician Associates, LLC CurrentSince Apr 26, 2017 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Feb 24, 2020 Accepting new patients
Woman'S Assessment Center Physicians CurrentSince Aug 31, 2017 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Feb 24, 2020 Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

3401 North Blvd
Ste 410
Baton Rouge, LA 70806
Phone (225) 381-2600

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

3401 North Blvd
Ste 400
Baton Rouge, LA 70806
Phone (225) 381-2755

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

14105 Highway 73
Ste 202
Prairieville, LA 70769
Phone (225) 402-2725

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20415/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1043742471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W ARLINGTON AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697318",
            "telephone_number": "225-603-5287",
            "fax_number": "855-854-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35671 KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697627",
            "telephone_number": "907-260-1655",
            "fax_number": "855-854-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZZLERIGG",
        "first_name": "KHAKI",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "249948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.