Individual provider Active NPI

Kenneth William Hazell, ARNP

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1275669780
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1727482 Issued in FL
Practice address
525 S Federal Hwy
Deerfield Beach, FL 33441-4100
Phone
(954) 421-8181
Fax
(954) 426-2967
NPI assigned
Feb 26, 2007
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 APRN1727482 FL Primary

Addresses

Primary practice location

525 S Federal Hwy
Deerfield Beach, FL 33441-4100

Mailing address

8933 NW 51St PL
Coral Springs, FL 33067-1920
Phone (954) 254-9823

Other identifiers 1

IdentifierTypeStateIssuer
304834900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000155 FL Practitioner - Nurse Practitioner 0749268282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecnb LLCGroup PAC ID 7911959341, 28 clinicians

Practice addresses (Care Compare)

225 S US Hwy 1
Tequesta, FL 33469-2701
Phone (561) 747-4464

2720 10TH Ave N
Suite 100
Lake Worth, FL 33461-3100
Phone (561) 540-4446

328 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone (561) 626-4878

525 S Federal Hwy
Deerfield BCH, FL 33441-4100
Phone (954) 421-8181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mecnb, LLC Current Accepting new patients
Dr GS Urgent Care LLC CurrentSince May 27, 2016 Accepting new patients
Mecnb, LLC CurrentSince Mar 1, 2020 Accepting new patients
Mecnb, LLC CurrentSince Mar 1, 2020 Accepting new patients
FMC Emergency Solutions LLC Past Accepting new patients
Helix Virtual, Inc Past Accepting new patients

Locations

525 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181

750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123

225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1275669780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 NW 51ST PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671920",
            "telephone_number": "954-254-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414100",
            "telephone_number": "954-421-8181",
            "fax_number": "954-426-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELL",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1727482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304834900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.