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CAMILLE HAZLEWOOD
NPI 1083299325
Nurse Practitioner - Family in Sanford, FL

Active since March 17, 2021PECOS Enrolled
905 HISTORIC GOLDSBORO BLVD, SANFORD, FL 32771(407) 337-6992 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2026, Jul 28, 2026, Jan 7, 2026 and 1 more (4 updates tracked since 2021).

About Camille Hazlewood NPPES

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

CAMILLE HAZLEWOOD (NPI 1083299325) is an individual family provider in Sanford, Florida, licensed in Florida (APRN11009829) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083299325
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAMILLE HAZLEWOOD
Location Address905 HISTORIC GOLDSBORO BLVDSanford, FL 32771-2415
Mailing Address4407 Drexel AveOrlando, FL 32808-1901 · (321) 356-7814
Phone(407) 337-6992
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 17, 2021
Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1083299325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · APRN11009829✔ Licensed in NY · 360533✔ Licensed in KY · 4051200✔ Licensed in TX · 1220312
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1009892 (FL)
905 HISTORIC GOLDSBORO BLVD, Sanford, FL 32771
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Hazlewood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264819895
PECOS Enrollment IDI20260116002634
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Camille Hazlewood reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Rehab Specialists, PLLC
82 mi
Adult Medicine
300 NW 1ST AVE
Williston, FL 32696
  • Reassigned Medicare billing, Florida enrollment
  • 198 clinicians in this Medicare group
NPI 1447941984 (352) 234-3050
Quantum Practitioner Services LLC
113 mi
Family
6547 KENAVA LOOP
Palmetto, FL 34221
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
NPI 1194426197 (941) 285-9062
Molina Care Connections, LLC.
2,199 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Connecticut, Florida, Kentucky and Texas enrollments
  • 86 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

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 32771 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

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

JASMINE RYANS
Nurse Practitioner (Family)
905 HISTORIC GOLDSBORO BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
SOLUTIONS COUNSELING & HEALTH SERVICES, LLC
Community/Behavioral Health
905 HISTORIC GOLDSBORO BLVD
SANFORD, FL 32771
Seminole County (407) 437-9295
SOLUTIONS COUNSELING & HEALTH SERVICES, LLC
Case Management
905 HISTORIC GOLDSBORO BLVD
SANFORD, FL 32771
Seminole County (407) 437-9295
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
905 HISTORIC GOLDSBORO BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645

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 Camille Hazlewood's NPI number?

The NPI number for Camille Hazlewood is 1083299325. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Camille Hazlewood located?

Camille Hazlewood practices at 905 Historic Goldsboro Blvd, Sanford, FL 32771. The listed phone number is (407) 337-6992.

What is Camille Hazlewood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Camille Hazlewood enrolled in Medicare?

Yes. Camille Hazlewood is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Camille Hazlewood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Hazlewood reassigns Medicare benefits to 3 organizations: Florida Rehab Specialists, PLLC (Williston, FL), Quantum Practitioner Services LLC (Palmetto, FL) and Molina Care Connections, LLC. (Long Beach, CA). 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 Camille Hazlewood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Hazlewood accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Camille Hazlewood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Camille Hazlewood was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.