Individual provider Active NPI

Hazel Joy Camit Gonzalez, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1295358927
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013800 Issued in KY
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4530
Fax
(859) 258-4870
NPI assigned
May 28, 2020
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013800 KY Primary
Medical-Surgical Registered Nurse 163WM0705X 1140163 KY

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20211111002734 KY Practitioner - Nurse Practitioner 0648669697 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians
CHM Mobile CareGroup PAC ID 8921505918, 9 clinicians

Practice addresses (Care Compare)

100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-4000

713 Main St
Suite a
Shelbyville, KY 40065-1239
Phone (804) 877-6601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1140163KYMDMedical-Surgical Registered Nurse
3013800KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonycares Complete Health Services, PLLC CurrentSince Oct 4, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Nov 15, 2022 Accepting new patients
New Lexington Clinic PSC CurrentSince Mar 20, 2023 Accepting new patients
Family Practice Clinic of Booneville, Inc. CurrentSince Nov 8, 2021 Accepting new patients
CHM Mobile Care CurrentSince Sep 1, 2025 Accepting new patients
Vpa PC CurrentSince Aug 27, 2024 Accepting new patients
Vpa PC Family CurrentSince Aug 27, 2024 Accepting new patients
Mountain Family Practice Clinic of Manchester Inc CurrentSince Nov 8, 2021 Accepting new patients
New Lexington Clinic, PSC CurrentSince Mar 20, 2023 Accepting new patients
Grace Community Health Center, Inc. Past Accepting new patients

Locations

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

100 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 258-5300

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701

713 Main St
Ste A
Shelbyville, KY 40065
Phone (804) 877-6601

Interoperability endpoints

  • Direct secure messaging: hazel.camitgonzalez@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: hazel.joy.gonzalez.1@13059.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1295358927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4530",
            "fax_number": "859-258-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HAZEL JOY",
        "middle_name": "CAMIT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013800",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "KY",
            "license": "1140163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.