Individual provider Active NPI

Christine L Hazlett, P.A.

  • Physician Assistant
  • Manhattan, KS
National Provider Identifier
1285673392
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500783 Issued in KS
Practice address
4101 Anderson Ave
Manhattan, KS 66503-7588
Phone
(785) 587-4101
NPI assigned
Jun 5, 2006
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500783 KS Primary

Addresses

Primary practice location

4101 Anderson Ave
Manhattan, KS 66503-7588

Mailing address

4101 Anderson Ave
Manhattan, KS 66503-7588
Phone (785) 587-4101

Other identifiers 1

IdentifierTypeStateIssuer
100405680AMedicaidKS

Other names 1

  • Ms. Christine Hazlett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050503001013 KS Practitioner - Physician Assistant 4284674805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

930 Hayes Dr
Suite B
Manhattan, KS 66502-5721
Phone (785) 565-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1500783KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospital Manhattan, Inc. Physician Assistant CurrentSince Jan 11, 2025 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients
Emergency Physicians of Manhattan, LLC Past Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

930 Hayes Dr
Ste B
Manhattan, KS 66502
Phone (785) 565-0016

Interoperability endpoints

  • Direct secure messaging: christine.hazlett.1@20807.direct.athenahealth.com

Organizations & group practices 4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1285673392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLETT",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100405680A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HAZLETT",
            "prefix": "MS.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.