Individual provider Active NPI

Damaris Hazell, AG-ACNP

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1699256347
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
218958 Issued in AZ
Practice address
8880 E Desert Cove Ave
Scottsdale, AZ 85260-6746
Phone
(480) 314-6670
Fax
(480) 257-1997
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 218958 AZ Primary

Addresses

Primary practice location

8880 E Desert Cove Ave
Scottsdale, AZ 85260-6746

Mailing address

PO Box 6423
Chandler, AZ 85246-6423
Phone (480) 245-6286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190131001917 AZ Practitioner - Nurse Practitioner 8123365947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218958AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 2, 2018 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Nov 10, 2022 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Nov 10, 2022 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 2, 2018 Accepting new patients
Ironwood Physicians, PC CurrentSince Mar 12, 2024 Accepting new patients
Ironwood Physicians, PC CurrentSince Mar 12, 2024 Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

8880 E Desert Cove Ave
Scottsdale, AZ 85260
Phone (480) 314-6670

3501 N Scottsdale Rd
Ste 347
Scottsdale, AZ 85251
Phone (480) 429-4690

Organizations & group practices 6

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1699256347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423",
            "telephone_number": "480-245-6286",
            "fax_number": "480-398-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 E DESERT COVE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606746",
            "telephone_number": "480-314-6670",
            "fax_number": "480-257-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELL",
        "first_name": "DAMARIS",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "218958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.