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JACOB HENRY HAZELLIEF PA-C
NPI 1669874822
Physician Assistant in Vero Beach, FL

Active since September 19, 2014PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1040 37TH PL STE 101, VERO BEACH, FL 32960(772) 563-4580(772) 563-4690 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Henry Hazellief Pa-c NPPES

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

JACOB HENRY HAZELLIEF PA-C (NPI 1669874822) is an individual physician assistant in Vero Beach, Florida, licensed in Florida (9108172) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (2014).

NPPES Registry Identity

NPI1669874822
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB HENRY HAZELLIEFCredential: PA-C
Location Address1040 37TH PL STE 101Vero Beach, FL 32960-4808
Mailing Address7802 Santa Clara BlvdFort Pierce, FL 34951-2514 · (772) 332-9378
Phone(772) 563-4580
Fax(772) 563-4690
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2014
Enumeration DateSeptember 19, 2014
✔ NPI 1669874822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9108172
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1040 37TH PL STE 101, Vero Beach, FL 32960
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Jacob Henry Hazellief Pa-c 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 ID8628290400
PECOS Enrollment IDI20231220001210
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

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ADAMS REVIEW LLC
Neurological Surgery
1040 37TH PL STE 101
VERO BEACH, FL 32960
Indian River County (772) 205-3345

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 Jacob Hazellief's NPI number?

The NPI number for Jacob Hazellief is 1669874822. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Jacob Hazellief located?

Jacob Hazellief practices at 1040 37th Pl Ste 101, Vero Beach, FL 32960. The listed phone number is (772) 563-4580.

What is Jacob Hazellief's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Hazellief enrolled in Medicare?

Yes. Jacob Hazellief 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.

What insurance does Jacob Hazellief accept?

Health plans from AvMed list Jacob Hazellief 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.

Is Jacob Hazellief affiliated with any hospitals?

According to CMS data, Jacob Hazellief is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Hazellief was last updated on September 19, 2014. 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.