DR. HAZEL-ANN PRINCE-WANNAH MD
NPI 1407590698
Hospitalist in Brooklyn, NY

Active since April 24, 2022PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVENUE, DEPT OF MEDICINE, BROOKLYN, NY 11203(718) 245-3408 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 10, 2025, Sep 3, 2025, Apr 24, 2022 (3 updates tracked since 2022).

About Dr. Hazel-ann Prince-wannah Md NPPES

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

DR. HAZEL-ANN PRINCE-WANNAH MD (NPI 1407590698) is an individual hospitalist provider in Brooklyn, New York, licensed in Florida (ME174995) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1407590698
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. HAZEL-ANN PRINCE-WANNAHCredential: MD
Location Address450 CLARKSON AVENUE, DEPT OF MEDICINEBrooklyn, NY 11203-2012
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-2052 · Fax (239) 343-5348
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 24, 2022
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1407590698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME174995
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
450 CLARKSON AVENUE, Brooklyn, NY 11203

Other Names 1

Former Name (1)Dr. Hazel-ann Prince Md

Secondary Practice Location 1

Location 19981 S Healthpark DrFort Myers, FL 33908-3618 · Phone (239) 343-2052 · Fax (239) 343-5348

Other Identifiers 1

Medicaid127956000FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Hazel-ann Prince-wannah Md 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 ID2567961824
PECOS Enrollment IDI20250814004743
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.

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, OBSTETRICS AND GYNECOLOGY
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF INTERNAL MEDICINE
BROOKLYN, NY 11203
Pediatrics
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER, PEDIATRICS
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, ANESTHESIOLOGY DEPARTMENT
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF SURGERY
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE ( INTERNAL MEDICINE)
BROOKLYN, NY 11203

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 Hazel-ann Prince-wannah's NPI number?

The NPI number for Hazel-ann Prince-wannah is 1407590698. It was assigned to this individual provider in the NPPES registry on April 24, 2022. The provider is also known as Dr. Hazel-Ann Prince MD.

Where is Hazel-ann Prince-wannah located?

Hazel-ann Prince-wannah practices at 450 Clarkson Avenue Dept Of Medicine, Brooklyn, NY 11203. The listed phone number is (718) 245-3408.

What is Hazel-ann Prince-wannah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hazel-ann Prince-wannah enrolled in Medicare?

Yes. Hazel-ann Prince-wannah 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.

Is Hazel-ann Prince-wannah affiliated with any hospitals?

According to CMS data, Hazel-ann Prince-wannah is affiliated with Lee Memorial Hospital and Gulf Coast Medical Center Lee Health.

When was this NPI record last updated?

The NPPES record for Hazel-ann Prince-wannah was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.