Active NPI
Tori Raye Hazel, AGCNS-BC
- Gerontology Clinical Nurse Specialist
- Altus, OK
National Provider Identifier
1578134979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 204080
- Practice address
- 1200 E Broadway St
Altus, OK 73521-5702 - Phone
- (580) 379-6000
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 204080 | OK | Primary |
Addresses
Primary practice location
1200 E Broadway St
Altus, OK 73521-5702
Mailing address
1104 Ruth Rd
Altus, OK 73521-1236
Phone (580) 471-8171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Broadway St
Altus, OK 73521-5702
Phone (580) 379-6000
Hospital & facility affiliations
- Jackson County Memorial Hospital Authority
- Memorial Health
- Elkview General Hospital
- Great Plains Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.44 of 100
- Quality
- 82.93
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 48.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204080 | OK | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Centers of Southwest Oklahoma, LLC | Current | Accepting new patients | |
| Cancer Centers of Southwest Oklahoma, LLC | Current | Accepting new patients | |
| Cancer Centers of Southwest Oklahoma, LLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1200 E Broadway St
Altus, OK 73521
Phone (580) 379-6000
104 NW 31st St
Lawton, OK 73505
Phone (580) 536-2121
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Lawton, OK
- NPI 1073787792
-
- Hematology & Oncology Physician
- Duncan, OK
- NPI 1578712675
-
- Hematology & Oncology Physician
- Chickasha, OK
- NPI 1821528662
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Rural Acute Care Hospital
- Hobart, OK
- NPI 1699758086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1578134979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 RUTH RD",
"city": "ALTUS",
"state": "OK",
"postal_code": "735211236",
"telephone_number": "580-471-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E BROADWAY ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735215702",
"telephone_number": "580-379-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "TORI",
"middle_name": "RAYE",
"name_prefix": "Mrs.",
"credential": "AGCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "OK",
"license": "204080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.