Individual provider Active NPI

Ellen Marie Hazel, CRNA

  • Certified Registered Nurse Anesthetist
  • Vero Beach, FL
National Provider Identifier
1619164480
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 9363178 Issued in FL
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8050945MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170516002465 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820071673 Reassigns benefits to 3 organizations

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
North Tampa Anesthesia ConsultantsGroup PAC ID 2860474483, 20 clinicians

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

LicenseStateTypeSpecialty
ARNP 9363178FLMDCertified Registered Nurse Anesthetist
144650NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Tampa Anesthesia Consultants CurrentSince Sep 15, 2022 Accepting new patients
New Vision Eye Center, LLC CurrentSince Apr 1, 2017 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2025 Accepting new patients
New Vision Surgical Center, LLC PastSince Apr 1, 2017 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.

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.

Verify at the official NPI Registry.