Jerica Shea Hazelwood, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906726 Issued in MS

Practice address

209 Main St
Union, MS 39365-2521

Phone

(769) 222-7008

NPI assigned

Jun 18, 2024

Last updated

Jun 18, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MS

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neshoba County General HospitalGroup PAC ID 6204738289, 30 clinicians

Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Hometown Urgent Care and Family MedicineGroup PAC ID 6800266248, 3 clinicians

Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Panola Medical Center Hospital, Batesville, MS, CCN 250781
• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 250043
• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 251340
• Winston Medical Center Hospital, Louisville, MS, CCN 250027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hometown Urgent Care and Family Medicine

  • Urgent Care Clinic/Center
  • Union, MS
  • NPI 1598486755
  Medicare reassignment Care Compare group NPD
• Neshoba County General Hospital

  • Certified Registered Nurse Anesthetist
  • Philadelphia, MS
  • NPI 1114057247
  Medicare reassignment Care Compare group NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084
  Medicare reassignment Care Compare group NPD
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  MS

  Medicare reassignment Care Compare group
• Neshoba County General Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Philadelphia, MS
  • NPI 1003946138
  NPD
• Neshoba County General Hospital

  • Critical Access Hospital
  • Philadelphia, MS
  • NPI 1083659734
  NPD

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

• Neshoba County General Hospital

  • Critical Access Hospital
  • Philadelphia, MS
  • NPI 1083659734
  Care Compare affiliation
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Medical Center

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  Care Compare affiliation
• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1073597126
  Care Compare affiliation

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1740023688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393652521",
            "telephone_number": "769-222-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393652521",
            "telephone_number": "769-222-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "JERICA",
        "middle_name": "SHEA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Rehab
• Genesis Rehab
• Joyce George, LPTA
• Jessica Joyner Graham, COTA/L
• Tina F Harrison, D.M.D
• Wendy Hendricks, LPTA
• Angela Henry
• Deborah A Hester, MD
• Hilltop Mississippi Healthcare LLC (Hilltop Manor Health and Rehabilitation Center)
• Hometown Urgent Care and Family Medicine

• Family Nurse Practitioner in Union, MS
• Providers in Union, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.