CASEY LEIGH HAZENBERG
NPI 1558770420
Nurse Practitioner - Family in Salem, OR

Q: What is Casey Hazenberg's NPI number?

The NPI number for Casey Hazenberg is 1558770420. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Q: What is Casey Hazenberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Casey Hazenberg was last updated on August 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since August 05, 2014PECOS Enrolled

1049 EDGEWATER ST NW, SALEM, OR 97304(503) 814-4400 Get Directions Write a Review

NPPES record last updated: August 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Casey Leigh Hazenberg NPPES

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

CASEY LEIGH HAZENBERG (NPI 1558770420) is an individual family provider in Salem, Oregon, licensed in Oregon (201404739NP-PP) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558770420

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCASEY LEIGH HAZENBERG

Location Address1049 EDGEWATER ST NWSalem, OR 97304-4046

Mailing Address1049 Edgewater St NwSalem, OR 97304-4046 · (503) 814-4400

Phone(503) 814-4400

Sole ProprietorYes

Enumeration DateAugust 5, 2014

Last NPPES UpdateAugust 23, 2015

✔ NPI 1558770420 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

License✔ Licensed in OR · 201404739NP-PP

1049 EDGEWATER ST NW, Salem, OR 97304

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Leigh Hazenberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97304 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 6

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

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