Marian Virginia Hazy, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5010377 Issued in NC

Practice address

50 Miller St Ste G
Winston Salem, NC 27104-4206

Phone

(336) 718-1000

Fax

(336) 718-1065

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhazy773519@direct.novanthealth.org

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.

• Upmc Community Medicine, Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment Care Compare group
• Excela Health Physician Practices, Inc

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment NPD
• Med First Immediate Care & Family Practice, PA

  • Urgent Care Clinic/Center
  • Greensboro, NC
  • NPI 1245807056
  NPD
• Excela Health Physician Practices, Inc.

  • Hospitalist Physician
  • Mt Pleasant, PA
  • NPI 1043501406
  NPD
• Excela Health Physician Practices, Inc.

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD
• Upmc Community Medcine Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD
• Upmc Community Medicine Inc

  • Infectious Disease Physician
  • Pittsburgh, PA
  • NPI 1275885428
  NPD
• Upmc Community Medicine Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1588622294
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1427493980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MILLER ST STE G",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044206",
            "telephone_number": "336-718-1000",
            "fax_number": "336-718-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4002 Elton Way",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27406",
            "country_code": "US",
            "telephone_number": "336-860-0981",
            "fax_number": "336-914-8307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4002 Elton Way",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27406",
            "country_code": "US",
            "telephone_number": "336-860-0981",
            "fax_number": "336-914-8307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031508",
            "country_code": "US",
            "telephone_number": "336-718-1000",
            "fax_number": "336-718-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZY",
        "first_name": "MARIAN",
        "middle_name": "VIRGINIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhazy773519@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "4002 Elton Way",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaquesha Mone'T Haynes, LCSW
• Mary Ann Hays
• Lavonda Propst Hazaimh, LPN
• Tristan Webb Hazebrook
• Spencer Hazel
• Peyton Ray Headden
• Monica Headen
• Heal-Thy Self, PLLC
• Healing Waters Holistic Mental Wellness, PLLC
• Health Solutions DME Inc

• Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.