KAITLYN HAZELMYER FNP-C
NPI 1073129029
Nurse Practitioner in Syracuse, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlyn Hazelmyer Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kaitlyn Hazelmyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 189 clinicians in this Medicare group
Pittsford, NY 14534
- Reassigned Medicare billing, New York enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Kaitlyn Hazelmyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Hazelmyer reassigns Medicare benefits to 2 organizations: Crouse Health Hospital Inc (Syracuse, NY) and Midtown East Medical Services, PC (Pittsford, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Hazelmyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Kaitlyn Hazelmyer, FNP-C · NPI 1073129029
Nurse Practitioner physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since September 16, 2020.
## Identity
- **NPI:** 1073129029 (Entity type: Individual)
- **Enumerated:** September 16, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 346101 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 736 IRVING AVE, Syracuse, NY 13210-1687
- **Phone:** (315) 470-7111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Crouse Health Hospital Inc (NPI 1841340205, Syracuse, NY); Midtown East Medical Services, PC (NPI 1801292800, Pittsford, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073129029) · Data from the CMS NPPES public registry.