NPIMap

Individual provider Active NPI

Tom David Hazel, FNP

  • Family Nurse Practitioner
  • Talent, OR
National Provider Identifier
1316944754
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
083042659 Issued in OR
Practice address
49 Talent Ave
Talent, OR 97540-9638
Phone
(541) 773-3863
NPI assigned
Jun 30, 2005
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 083042659 OR Primary

Addresses

Primary practice location

49 Talent Ave
Talent, OR 97540-9638

Mailing address

1221 Disk Dr
Medford, OR 97501-6638
Phone (458) 658-5930

Other practice location 1

560 Catalina Dr
Ashland, OR 97520-1605
Phone (541) 201-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000679 OR Practitioner - Nurse Practitioner 4789778358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogue Community HealthGroup PAC ID 1557266236, 31 clinicians

Practice addresses (Care Compare)

19 Myrtle St
Medford, OR 97504-7337
Phone (541) 773-3863

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
083042659ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen P Joslin NP PastSince May 1, 2016 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rogue Community HealthWhite City, OR, CCN 381859 Federally qualified health center Corporate Director Apr 25, 2019
Rogue Community HealthAshland, OR, CCN 381857 Federally qualified health center Corporate Director Apr 25, 2019
Rogue Community HealthButte Falls, OR, CCN 381927 Federally qualified health center Corporate Director Apr 25, 2019
Rogue Community Health School Base Health CenterEagle Point, OR, CCN 381932 Federally qualified health center Corporate Director Apr 25, 2019
Rogue Community HealthEagle Point, OR, CCN 381001 Federally qualified health center Corporate Director Apr 25, 2019
Rogue Community Health East Main Dental ClinicMedford, OR, CCN 381011 Federally qualified health center Corporate Director Apr 25, 2019

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 6

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1316944754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DISK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016638",
            "telephone_number": "458-658-5930",
            "fax_number": "541-414-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 TALENT AVE",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975409638",
            "telephone_number": "541-773-3863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Catalina Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975201605",
            "country_code": "US",
            "telephone_number": "541-201-4800",
            "fax_number": "541-201-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "TOM",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "083042659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talent, OR

Sources for this page

Verify at the official NPI Registry.