Jennifer Johnson Hazzard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0000566 Issued in DE

Practice address

1606 Savannah Rd
Lewes, DE 19958-1656

Phone

(410) 749-4154

Fax

(410) 860-9583

NPI assigned

Nov 21, 2006

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Ms. Jennifer Renee Johnson Former name

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score

21.61 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.05

Merit-based Incentive Payment System (MIPS)

Final score

44.55 of 100Reported as group

Quality

58.82

Promoting interoperability

0

Improvement activities

20

Cost

64.69

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhazzard22839@beebehealth.direct-ci.com

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.

• Peninsula Orthopaedic Assoc., PA

  • Orthopaedic Surgery Physician
  • Seaford, DE
  • NPI 1780814202
  Medicare reassignment Care Compare group NPD
• Premier Orthopaedic Bone & Joint Care

  • Orthopaedic Surgery Physician
  • Milford, DE
  • NPI 1417251257
  Medicare reassignment NPD
• Peninsula Orthopaedic Assoc PA

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1992567564
  NPD
• Peninsula Orthopaedic Assoc, PA

  • Orthopaedic Surgery Physician
  • Salisbury, MD
  • NPI 1811188766

  Physician Assistant

  NPD (past)

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

• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1982779633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-860-4506",
            "fax_number": "410-860-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581656",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 N Race St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199471404",
            "country_code": "US",
            "telephone_number": "302-424-4141",
            "fax_number": "302-422-6506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZZARD",
        "first_name": "JENNIFER",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF DELAWARE",
            "identifier": "1982779633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET - TRICARE/CHAMPUS",
            "identifier": "51-0370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EASTERN SUSSEX PHYSICIANS CARE",
            "identifier": "51-0370286",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON HEALTH SERVICES",
            "identifier": "51-0370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST HEALTH CARE",
            "identifier": "51-0370286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982779633",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00472436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNION LABOR LIFE INSURANCE COMPANY",
            "identifier": "51-0370286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JOHNSON",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Haxton, RN
• Glen Hayes
• Monique Hayes, SCHOOL PSYCHOLOGIST
• Jessica Marie Hays, RN
• Richard Hayward, PT,OMPT,OCS,CEES
• Rochelle Hazzard
• Dawn Michele Head, RN
• Madison Healy, RN
• Hear on the Shore, Inc.
• Heartland Hospice Services LLC (Heartland Hospice Services)

• Physician Assistant in Lewes, DE
• Providers in Lewes, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.