Individual provider Active NPI

Julianne Hazard, CNP

  • Gerontology Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1821465451
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2283625 Issued in MA
Practice address
800 Turnpike St Ste 300
North Andover, MA 01845-6156
Phone
(978) 494-0441
Fax
(978) 288-0198
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2283625 MA
Gerontology Nurse Practitioner 363LG0600X RN2283625 MA Primary

Addresses

Primary practice location

800 Turnpike St Ste 300
North Andover, MA 01845-6156

Mailing address

800 Turnpike St Ste 300
North Andover, MA 01845-6156
Phone (978) 494-0441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160329000511 MA Practitioner - Nurse Practitioner 0547567034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myhome Healthcare PLLCGroup PAC ID 1254741408, 11 clinicians

Practice addresses (Care Compare)

800 Turnpike St
Suite 300
North Andover, MA 01845-6156
Phone (978) 494-0441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.68 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
37.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2283625MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myhome Healthcare, PLLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

800 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 494-0441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22118/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julianne.hazard.1@22118.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1821465451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "978-494-0441",
            "fax_number": "978-288-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "978-494-0441",
            "fax_number": "978-288-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "JULIANNE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2283625",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2283625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.