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BROOKLYN HAZEL PMHNP-BC
NPI 1447869565
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Active since July 24, 2020PECOS Enrolled
815 W BROAD ST STE 220, COLUMBUS, OH 43222(614) 799-0822(614) 717-4427 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2026, Aug 24, 2024, Jul 24, 2020 (3 updates tracked since 2020).

About Brooklyn Hazel Pmhnp-bc NPPES

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

BROOKLYN HAZEL PMHNP-BC (NPI 1447869565) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (444272) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manchester, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447869565
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBROOKLYN HAZELCredential: PMHNP-BC
Location Address815 W BROAD ST STE 220Columbus, OH 43222-1478
Mailing Address815 W Broad St Ste 220Columbus, OH 43222-1478
Phone(614) 799-0822
Fax(614) 717-4427
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 24, 2020
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1447869565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OH · 444272✔ Licensed in NH · 116365-23
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 444272 (OH)
815 W BROAD ST STE 220, Columbus, OH 43222
Open in Google Maps ↗

Secondary Practice Location 1

Location 1814 Elm St Ste 313Manchester, NH 03101-2130 · Phone (603) 321-0084

Other Identifiers 2

Other444272OH · Nursing License
Medicaid0131040OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooklyn Hazel Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062982440
PECOS Enrollment IDI20260527001466
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 Reassignment

Medicare enrollment records show Brooklyn Hazel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Wellness Center Nh LLC
635 mi
Adult Health
814 ELM ST STE 313
Manchester, NH 03101
  • Reassigned Medicare billing, New Hampshire enrollment
  • 18 clinicians in this Medicare group
NPI 1639866197 (603) 321-0084

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 43222 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

CENTRAL OHIO ENDOSCOPY CENTER, LLC.
Clinic/Center (Endoscopy)
815 W BROAD ST STE 220
COLUMBUS, OH 43222
Franklin County (614) 754-5500
CAYLEE DAWN HOSHOR
Counselor (Addiction (Substance Use Disorder))
815 W BROAD ST STE 220
COLUMBUS, OH 43222
Franklin County (614) 717-0822

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 Brooklyn Hazel's NPI number?

The NPI number for Brooklyn Hazel is 1447869565. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Brooklyn Hazel located?

Brooklyn Hazel practices at 815 W Broad St Ste 220, Columbus, OH 43222. The listed phone number is (614) 799-0822.

What is Brooklyn Hazel's specialty?

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

Is Brooklyn Hazel enrolled in Medicare?

Yes. Brooklyn Hazel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brooklyn Hazel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooklyn Hazel reassigns Medicare benefits to Addiction Wellness Center Nh LLC (Manchester, NH). The 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 Brooklyn Hazel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooklyn Hazel accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Brooklyn Hazel 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 Brooklyn Hazel was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.