Active NPI
Susanne Hazel, N.P.
- Nurse Practitioner
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 332652
- Practice address
- 1 John James Audubon Pkwy FL 2
Amherst, NY 14228 - Phone
- (716) 849-8750
- Fax
- (716) 849-8756
- NPI assigned
- Apr 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 63373 | NM | |
| Nurse Practitioner | 363L00000X | 332652 | NY | Primary |
| Nurse Practitioner | 363L00000X | 838613 | NV |
Addresses
Primary practice location
1 John James Audubon Pkwy FL 2
Amherst, NY 14228
Mailing address
1 John James Audubon Pkwy FL 2
Amherst, NY 14228-1145
Phone (716) 849-8750
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026762505 | Other | NY | UNIVERA |
| 9512581 | Other | NY | IND. HEALTH |
| 00026516801 | Other | NY | UNIVERA |
| 000560496003 | Other | NY | BLUE CROSS |
| 000560496007 | Other | NY | BCBS |
| 02160236 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA, ID, CO, NV, OR, AZ, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63373 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Nevada Post-Acute Medical Services-Scherr 1 PC | Current | Accepting new patients | |
| Northwest Post-Acute Care PC | Current | Accepting new patients | |
| Colorado Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| New Mexico Pac Services PC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| Supportive Medical Partners, PLLC | Current | Accepting new patients | |
| Washington Pac Services PC | Current | Accepting new patients | |
| New York General Medical Services PC | Current | Accepting new patients | |
| Wa Pacs 2 PC | Current | Accepting new patients | |
| Co Pacs 2 PC | Nurse Practitioner | Current | Accepting new patients |
| Mi Pacs 2 PC | Past | Accepting new patients | |
| Geriatric Associates, LLP | Past | Accepting new patients |
Locations
800 W University Ave
Flagstaff, AZ 86001
Phone (928) 779-6931
5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400
255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988
1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669
3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045
2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333
1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700
150 Spring St
Morrison, CO 80465
Phone (303) 697-8181
1125 N Division Ave
Sandpoint, ID 83864
Phone (208) 265-9299
7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565
7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200
2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684
10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
225 Como Park Blvd
Cheektowaga, NY 14227
Phone (716) 686-1900
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
1735 Adkins St
Eugene, OR 97401
Phone (541) 683-5032
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433
920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422
414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650
14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644
Interoperability endpoints
- susanne.hazel.p3@direct.fallonhealth.nextgenshare.com
Organizations & group practices 14
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.
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
-
- Pain Medicine Physician
- Cheektowaga, NY
- NPI 1659338184
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Hospitalist Physician
- Denver, CO
- NPI 1245779727
-
- Hospitalist Physician
- North Las Vegas, NV
- NPI 1033658331
-
- Hospitalist Physician
- Santa Fe, NM
- NPI 1801325634
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1144706532
-
- Hospitalist Physician
- Spokane, WA
- NPI 1336678168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1740243344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JOHN JAMES AUDUBON PKWY FL 2",
"city": "AMHERST",
"state": "NY",
"postal_code": "142281145",
"telephone_number": "716-849-8750",
"fax_number": "716-849-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JOHN JAMES AUDUBON PKWY FL 2",
"city": "AMHERST",
"state": "NY",
"postal_code": "14228",
"telephone_number": "716-849-8750",
"fax_number": "716-849-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "SUSANNE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "63373",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "332652",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "838613",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026762505",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND. HEALTH",
"identifier": "9512581",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026516801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000560496003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000560496007",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02160236",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.