Molly Anne Hazelbaker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006634 Issued in OH

Practice address

350 Thomas More Pkwy
Crestview Hills, KY 41017-5465

Phone

(859) 363-2200

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By 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 KY, OH, IN3 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 3

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tri State Urologic Services PSC IncGroup PAC ID 6204740889, shared by 8 NPIs, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
• St Elizabeth Florence Hospital, Florence, KY, CCN 180045
• St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
• St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086

Merit-based Incentive Payment System (MIPS)

Final score

93.83 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Cost

83.09

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mollyhazelbaker@tsus.allscriptsdirect.net

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.

• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Crestview Hills, KY
  • NPI 1275726580
  Medicare reassignment NPD
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Lawrenceburg, IN
  • NPI 1083807093
  Medicare reassignment NPD
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Cincinnati, OH
  • NPI 1396938312
  Medicare reassignment
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Cincinnati, OH
  • NPI 1568404846
  NPD
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Blue Ash, OH
  • NPI 1619200664
  NPD
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Cincinnati, OH
  • NPI 1912729005
  NPD

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

• St Elizabeth Medical Center, Inc

  dba St Elizabeth Florence

  • General Acute Care Hospital
  • Florence, KY
  • NPI 1154365062
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  dba St Elizabeth Ft. Thomas

  • General Acute Care Hospital
  • Fort Thomas, KY
  • NPI 1740221795
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  dba St Elizabeth Dearborn

  • General Acute Care Hospital
  • Lawrenceburg, IN
  • NPI 1326142498
  Care Compare affiliation

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1780287748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 S GENSEN LOOP",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452457066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175465",
            "telephone_number": "859-363-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELBAKER",
        "first_name": "MOLLY",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marisa Harris, MD
• Felicia Marie Hartwell, NP
• Samer S Hasan, M.D., PH.D.
• Chadwick Ward Hatfield, M.D.
• Sarah Beth Hayes, BS
• Christopher A Heeb, MD
• Paige Heimbrock, M.A, CF-SLP
• Erin Heis
• Jennifer Suzanne Heminger, APRN
• Jared Edward Henderson, DPT

• Physician Assistant in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.