Active NPI
Ellen Marie Hazel, CRNA
- Certified Registered Nurse Anesthetist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP 9363178
- Practice address
- 1055 37TH PL
Vero Beach, FL 32960-6551 - Phone
- (772) 257-8700
- Fax
- (772) 257-8715
- NPI assigned
- Sep 26, 2007
- Last updated
- Apr 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 144650 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 9363178 | FL | Primary |
Addresses
Primary practice location
1055 37TH PL
Vero Beach, FL 32960-6551
Mailing address
1055 37TH Place
Vero Beach, FL 32960
Phone (772) 257-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050945 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 688-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9363178 | FL | MD | Certified Registered Nurse Anesthetist |
| 144650 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Tampa Anesthesia Consultants | Current | Accepting new patients | |
| New Vision Eye Center, LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| New Vision Surgical Center, LLC | Past | Accepting new patients | |
| WRMC Hospital Operating Corporation | Past | Accepting new patients | |
| Durham Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Regional Anesthesia, PLLC | Past | Accepting new patients |
Locations
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
2200 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 344-0930
2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776
8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
1402 W Fletcher Ave
Tampa, FL 33612
Phone (813) 627-4723
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
3955 Indian River Blvd
Ste 220
Vero Beach, FL 32960
Phone (772) 213-3600
845 37th Pl
Vero Beach, FL 32960
Phone (772) 776-0600
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1144216433
-
- Specialist
- Vero Beach, FL
- NPI 1255568879
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
- NPI 1063701977
-
- Specialist
- Durham, NC
- NPI 1730275744
Nurse Anesthetist, Certified Registered
-
- Specialist
- Durham, NC
- NPI 1952486946
-
dba WRMC Physicians
- Hospitalist Physician
- North Wilkesboro, NC
- NPI 1093737082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1619164480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 37TH PLACE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-257-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 37TH PL",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606551",
"telephone_number": "772-257-8700",
"fax_number": "772-257-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "ELLEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "144650",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 9363178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050945",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.