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SUSAN JILL HAZEL PMHNP
NPI 1255453437
Nurse Practitioner - Psychiatric/Mental Health in Lake Oswego, OR

Active since April 06, 2007Opted out of Medicare · through Apr 1, 2028
15100 BOONES FERRY RD, #700, LAKE OSWEGO, OR 97035(503) 330-5092(503) 892-3129 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Jill Hazel Pmhnp NPPES

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

SUSAN JILL HAZEL PMHNP (NPI 1255453437) is an individual psychiatric/mental health provider in Lake Oswego, Oregon, licensed in Oregon (000036739N6) and active in the NPI registry since April 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255453437
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN JILL HAZELCredential: PMHNP
Location Address15100 BOONES FERRY RD, #700Lake Oswego, OR 97035-3469
Mailing AddressPo Box 13510, MhpbsPortland, OR 97213 · (503) 249-0181
Phone(503) 330-5092
Fax(503) 892-3129
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255453437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 000036739N6
15100 BOONES FERRY RD, Lake Oswego, OR 97035
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Jill Hazel Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 13

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

MITCH ELOVITZ, LPC, LLC
Counselor (Professional)
15100 BOONES FERRY RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 804-3063
MS. LISA A LIEBERMAN MSW
Social Worker (Clinical)
15100 BOONES FERRY RD, SUITE 750A
LAKE OSWEGO, OR 97035
Clackamas County (503) 697-5956
GREGORY CZAR PHD
Psychologist (Clinical)
15100 BOONES FERRY RD, SUITE 850C
LAKE OSWEGO, OR 97035
Clackamas County (503) 539-1547
RUTH ELAINE LAMB
Counselor (Mental Health)
15100 BOONES FERRY RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 469-1585
MRS. NATALIE KATHARINE HARPER MA, CADC I
Counselor (Mental Health)
15100 BOONES FERRY RD, 800C
LAKE OSWEGO, OR 97035
Clackamas County (503) 707-0808
MRS. JOAN MARY HARDY L.P.C.
Counselor (Professional)
15100 BOONES FERRY RD, 750A
LAKE OSWEGO, OR 97035
Clackamas County (503) 317-5952
DR. BETH HOOVER LANGHORST PH.D.
Psychologist (Clinical)
15100 BOONES FERRY RD, SUITE 800A
LAKE OSWEGO, OR 97035
Clackamas County (503) 705-2465
MS. AMY HOLBROOK LCSW
Social Worker (Clinical)
15100 BOONES FERRY RD, STE 700
LAKE OSWEGO, OR 97035
Clackamas County (503) 699-9439

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 Susan Hazel's NPI number?

The NPI number for Susan Hazel is 1255453437. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Susan Hazel located?

Susan Hazel practices at 15100 Boones Ferry Rd #700, Lake Oswego, OR 97035. The listed phone number is (503) 330-5092.

What is Susan Hazel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Hazel enrolled in Medicare?

No. Susan Hazel has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Hazel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.