HOLLY D HAZARD APRN-CNP
NPI 1144069949
Nurse Practitioner - Family in Okemah, OK

Active since May 21, 2024PECOS EnrolledAccepts Medicare Assignment
209 W BROADWAY ST, OKEMAH, OK 74859(800) 640-9741(918) 967-3351 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, Nov 6, 2024 (2 updates tracked since 2024).

About Holly D Hazard Aprn-cnp NPPES

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

HOLLY D HAZARD APRN-CNP (NPI 1144069949) is an individual family provider in Okemah, Oklahoma, licensed in Oklahoma (220118) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Shawnee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144069949
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY D HAZARDCredential: APRN-CNP
Location Address209 W BROADWAY STOkemah, OK 74859-2618
Mailing Address209 W Broadway StOkemah, OK 74859-2618 · (800) 640-9741 · Fax (918) 967-3351
Fax(918) 967-3351
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 21, 2024
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1144069949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OK · 220118✔ Licensed in TX · 1158948
209 W BROADWAY ST, Okemah, OK 74859

Other Names 1

Former Name (1)Holly D Hare

Secondary Practice Locations 2

Location 11102 W Main StHenryetta, OK 74437-4232 · Phone (918) 652-9615 · Fax (918) 652-7612
Location 2104 E Shurden Industrial BlvdHenryetta, OK 74437-7323 · Phone (918) 652-9614 · Fax (918) 652-4831

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly D Hazard Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739613183
PECOS Enrollment IDI20241107004327, I20250109000015
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

4

Medicare enrollment records show Holly Hazard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
109 S MAIN ST
Wetumka, OK 74883
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1505 E MAIN ST
Stigler, OK 74462
  • Reassigned Medicare billing, Oklahoma enrollment
  • 61 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74859 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Case Manager/Care Coordinator
209 W BROADWAY ST
OKEMAH, OK 74859
Case Manager/Care Coordinator
209 W BROADWAY ST
OKEMAH, OK 74859
Social Worker (Clinical)
209 W BROADWAY ST
OKEMAH, OK 74859
Counselor (Mental Health)
209 W BROADWAY ST
OKEMAH, OK 74859
Peer Specialist
209 W BROADWAY ST
OKEMAH, OK 74859
Counselor
209 W BROADWAY ST
OKEMAH, OK 74859
Case Manager/Care Coordinator
209 W BROADWAY ST
OKEMAH, OK 74859
Case Manager/Care Coordinator
209 W BROADWAY ST
OKEMAH, OK 74859

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 Holly Hazard's NPI number?

The NPI number for Holly Hazard is 1144069949. It was assigned to this individual provider in the NPPES registry on May 21, 2024. The provider is also known as Holly D Hare.

Where is Holly Hazard located?

Holly Hazard practices at 209 W Broadway St, Okemah, OK 74859. The listed phone number is (800) 640-9741.

What is Holly Hazard's specialty?

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

Is Holly Hazard enrolled in Medicare?

Yes. Holly Hazard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Holly Hazard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Hazard reassigns Medicare benefits to 4 organizations: East Central Oklahoma Family Health Center, Inc. (Wetumka, OK), Stigler Health And Wellness Center Inc (Stigler, OK), Concord Medical Group PLLC (Lubbock, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). 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 Holly Hazard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Hazard accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Holly Hazard 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.

Is Holly Hazard affiliated with any hospitals?

According to CMS data, Holly Hazard is affiliated with Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Holly Hazard was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.