Individual provider Active NPI

Hazel Peters, ARNP

  • Family Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1366656332
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2939292 Issued in FL
Practice address
1990 N Federal Hwy
Pompano Beach, FL 33062-1032
Phone
(954) 942-2247
Fax
(954) 942-2265
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 2939292 FL Primary

Addresses

Primary practice location

1990 N Federal Hwy
Pompano Beach, FL 33062-1032

Mailing address

7815 SW 6TH St
North Lauderdale, FL 33068-2204

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
I20090916000689 FL Practitioner - Nurse Practitioner 0042366080

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

660 N State Rd
7 Suite 4a
Plantation, FL 33317-2117

9725 NW 117TH Ave
Suite 200
Medley, FL 33178-1260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2939292FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC CurrentSince Feb 20, 2024 Accepting new patients
Wayne J M Fraser MD PA Past Accepting new patients
Broward Multispecialty Group LLC Past Accepting new patients

Locations

3001 NW 49th Ave
Ste 100
Lauderdale Lakes, FL 33313
Phone (954) 353-5168

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

1990 N Federal Hwy
Ste A
Pompano Beach, FL 33062
Phone (954) 532-9201

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1366656332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 SW 6TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "954-942-2247",
            "fax_number": "954-942-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "HAZEL",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2939292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.