NPIMap

Individual provider Active NPI

Heather Stephanie Hazel, MD

  • Family Medicine Physician
  • La Porte, IN
National Provider Identifier
1912968504
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01060598A Issued in IN
Practice address
900 I St
La Porte, IN 46350-5533
Phone
(219) 324-1700
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01060598A IN Primary

Addresses

Primary practice location

900 I St
La Porte, IN 46350-5533

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-1840

Other practice location 1

650 Dickinson Rd
Suite A
Chesterton, IN 46304-3387
Phone (219) 926-2133

Other identifiers 1

IdentifierTypeStateIssuer
200529530BMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.hazel.1@2340.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000873 IN Practitioner - Family Practice 6901831122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

2235 Cleveland Rd
South Bend, IN 46628-3529
Phone (574) 647-4530

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

650 Dickinson Rd
Chesterton, IN 46304-3387

Hospital & facility affiliations

  • Dunes Hospice LLC Hospice, Valparaiso, IN, CCN 151614
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Family Medicine CurrentSince May 1, 2007 Accepting new patients
Beacon Medical Group Inc CurrentSince Sep 15, 2025 Accepting new patients
Beacon Medical Group, Inc. Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
Beacon Medical Group, Inc. Family Medicine Current Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients
Porter Health Services Past Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
#A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

900 I St
Laporte, IN 46350
Phone (219) 324-1670

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

2235 Cleveland Rd
South Bend, IN 46628
Phone (574) 647-4530

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1912968504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 I ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505533",
            "telephone_number": "219-324-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Dickinson Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463043387",
            "country_code": "US",
            "telephone_number": "219-926-2133",
            "fax_number": "219-926-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "HEATHER",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01060598A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200529530B",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.hazel.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "650 Dickinson Rd",
            "address_2": "Suite A",
            "city": "Chesterton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463043387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.