Active NPI
Michelle Marie Hazelton, CRNA
- Certified Registered Nurse Anesthetist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2554
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2595 - Phone
- (651) 254-3456
- NPI assigned
- Dec 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2554 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2595
Mailing address
2003 Itasca Ave
Saint Paul, MN 55116-2518
Phone (612) 743-5364
Other practice location 1
420 E 1st St
Duluth, MN 55805-1901
Phone (218) 786-8364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7700
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-8080
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164
Hospital & facility affiliations
- Regions Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| North Shore Anesthesia P.a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regions Hospital | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regions Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
MN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1922051291
MN, Nurse Anesthetist, Certified Registered
-
- Neurological Surgery Physician
- Minneapolis, MN
- NPI 1144264540
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
Hospital & facility affiliations 8
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": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1073100830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 ITASCA AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551162518",
"telephone_number": "612-743-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012595",
"telephone_number": "651-254-3456"
}
],
"practiceLocations": [
{
"address_1": "420 E 1st St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051901",
"country_code": "US",
"telephone_number": "218-786-8364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAZELTON",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-28",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.