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KAITLYN HAZELMYER FNP-C
NPI 1073129029
Nurse Practitioner in Syracuse, NY

Active since September 16, 2020PECOS Enrolled
736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7111 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaitlyn Hazelmyer Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN HAZELMYER FNP-C (NPI 1073129029) is an individual nurse practitioner in Syracuse, New York, licensed in New York (346101) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073129029
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAITLYN HAZELMYERCredential: FNP-C
Location Address736 IRVING AVESyracuse, NY 13210-1687
Mailing Address736 Irving Ave, Nurse Practitioner DepartmentSyracuse, NY 13210-1687 · (315) 415-5849
Phone(315) 470-7111
Sole ProprietorNo
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1073129029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 346101
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
736 IRVING AVE, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Hazelmyer Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRENE S BORJA FNP-BC
Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 470-7111
MARY JEAN THOMAS FNP
Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 470-7111
JUDITH H BENEDICT MD
Anesthesiology
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 470-7828
JOAN MARIE MITCHELL MD
Internal Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 425-4828
JAMES E SUCHNICKI MD
Radiology (Diagnostic Radiology)
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 470-7551
MR. ARTHUR L DALEY III RPH
Pharmacist
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 470-7631
ANDREY MOYKO M.D.
Emergency Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (617) 754-2323
KRISTEN RYDER CRNA
Nurse Anesthetist, Certified Registered
736 IRVING AVE
SYRACUSE, NY 13210
Onondaga County (315) 470-8705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Hazelmyer's NPI number?

The NPI number for Kaitlyn Hazelmyer is 1073129029. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Kaitlyn Hazelmyer located?

Kaitlyn Hazelmyer practices at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 470-7111.

What is Kaitlyn Hazelmyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kaitlyn Hazelmyer enrolled in Medicare?

Yes. Kaitlyn Hazelmyer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Hazelmyer was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.