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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE R HAZELWOOD CRNA
NPI 1558504076
Nurse Anesthetist, Certified Registered in Jackson, MO

Active since April 14, 2009

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Nov 8, 2021 (2 updates tracked since 2021).

About Nicole R Hazelwood Crna NPPES

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

NICOLE R HAZELWOOD CRNA (NPI 1558504076) is an individual nurse anesthetist, certified registered in Jackson, Missouri, licensed in Missouri (2002019453) and active in the NPI registry since April 2009. She maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1558504076
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNICOLE R HAZELWOODCredential: CRNA
Location Address216 ELM STJackson, MO 63755-1708
Mailing Address216 Elm StJackson, MO 63755-1708 · (573) 576-1903
Phone(573) 576-1903
Sole ProprietorYes
Enumeration DateApril 14, 2009
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1558504076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MO · 2002019453✔ Licensed in IL · 041429789
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
216 ELM ST, Jackson, MO 63755
Open in Google Maps ↗

Secondary Practice Location 1

Location 11101 W Liberty StFarmington, MO 63640-1921 · Phone (573) 760-8002

Other Identifiers 2

Other110375MO · Healthlink
OtherP00726014MO · Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole R Hazelwood Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

5

Medicare enrollment records show Nicole Hazelwood reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

ASC Anesthesia LLC
8.4 mi
Anesthesiology
300 S MOUNT AUBURN RD STE 200
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 11 clinicians in this Medicare group
NPI 1740873033 (573) 332-7881
Auburn Surgery Center Inc.
8.4 mi
Ambulatory Surgical
300 S MOUNT AUBURN RD, STE 200
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group
NPI 1265431670 (573) 651-4488
Iron County Hospital District
56 mi
Critical Access
301 N HIGHWAY 21
Pilot Knob, MO 63663
  • Reassigned Medicare billing, Missouri enrollment
  • 71 clinicians in this Medicare group
NPI 1477648178 (573) 546-1260
Pemiscot County Memorial Hospital
79 mi
Clinic/Center
946 E REED ST
Hayti, MO 63851
  • Reassigned Medicare billing, Missouri enrollment
  • 81 clinicians in this Medicare group
NPI 1942881834 (573) 359-1372
Aim Anesthesia LLC
103 mi
Anesthesiology
3550 MCKELVEY ROAD, PREMIER SURGERY CENTER
Bridgetown, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 49 clinicians in this Medicare group
NPI 1245685601 (314) 741-0911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
24 services23 patients

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 Nicole Hazelwood's NPI number?

The NPI number for Nicole Hazelwood is 1558504076. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Nicole Hazelwood located?

Nicole Hazelwood practices at 216 Elm St, Jackson, MO 63755. The listed phone number is (573) 576-1903.

What is Nicole Hazelwood's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicole Hazelwood enrolled in Medicare?

Yes. Nicole Hazelwood is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Hazelwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hazelwood reassigns Medicare benefits to 5 organizations: ASC Anesthesia LLC (Cape Girardeau, MO), Auburn Surgery Center Inc. (Cape Girardeau, MO), Iron County Hospital District (Pilot Knob, MO), Pemiscot County Memorial Hospital (Hayti, MO) and Aim Anesthesia LLC (Bridgetown, MO). 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 Nicole Hazelwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Hazelwood was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.