Individual provider Active NPI

Susanne Hazel, N.P.

  • Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1740243344
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
332652 Issued in NY
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

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00026762505OtherNYUNIVERA
9512581OtherNYIND. HEALTH
00026516801OtherNYUNIVERA
000560496003OtherNYBLUE CROSS
000560496007OtherNYBCBS
02160236MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, ID, CO, NV, OR, AZ, NM8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20050112000500 NY Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations
I20220317001808 WA Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations
I20220318001246 ID Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations
I20220323000165 CO Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations
I20220323000910 NV Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations
I20220323001129 OR Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations
I20220324000566 AZ Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations
I20220324000725 NM Practitioner - Nurse Practitioner 7315995792 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63373NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jan 1, 2022 Accepting new patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince Jan 1, 2022 Accepting new patients
Northwest Post-Acute Care PC CurrentSince Jan 1, 2022 Accepting new patients
Colorado Post-Acute Medical Services 1 PC CurrentSince Jan 1, 2022 Accepting new patients
New Mexico Pac Services PC CurrentSince Jan 1, 2022 Accepting new patients
NM Pacs 2 LLC CurrentSince Jan 1, 2022 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Jan 1, 2022 Accepting new patients
Supportive Medical Partners, PLLC CurrentSince Feb 1, 2005 Accepting new patients
Washington Pac Services PC CurrentSince Feb 1, 2022 Accepting new patients
New York General Medical Services PC CurrentSince Aug 14, 2019 Accepting new patients
Wa Pacs 2 PC CurrentSince Feb 1, 2022 Accepting new patients
Co Pacs 2 PC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
Mi Pacs 2 PC Past Accepting new patients
Geriatric Associates, LLP PastSince Jul 25, 2019 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

  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.