JERICA SHEA HAZELWOOD FNP-BC
NPI 1740023688
Nurse Practitioner - Family in Union, MS

Active since June 18, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerica Shea Hazelwood Fnp-bc NPPES

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

JERICA SHEA HAZELWOOD FNP-BC (NPI 1740023688) is an individual family provider in Union, Mississippi, licensed in Mississippi (906726) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Winston Medical Center & Swingbed, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740023688
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJERICA SHEA HAZELWOODCredential: FNP-BC
Location Address209 MAIN STUnion, MS 39365-2521
Mailing Address209 Main StUnion, MS 39365-2521 · (769) 222-7008
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1740023688 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 MS · 906726
209 MAIN ST, Union, MS 39365

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jerica Shea Hazelwood Fnp-bc 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 ID7113464348
PECOS Enrollment IDI20240805003640
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 Reassignments

6

Medicare enrollment records show Jerica Hazelwood reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
209 MAIN ST
Union, MS 39365
  • Reassigned Medicare billing, Mississippi enrollment
  • 5 clinicians in this Medicare group
Family
120 STONE CREEK BLVD STE 300
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 72 clinicians in this Medicare group
Nurse Practitioner
120 STONE CREEK BLVD STE 300
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 117 clinicians in this Medicare group
Clinic/Center
406 STRIBLING ST
Philadelphia, MS 39350
  • Reassigned Medicare billing, Mississippi enrollment
  • 55 clinicians in this Medicare group
Family Medicine
255 MEDICAL CENTER DRIVE
Batesville, MS 38606
  • Reassigned Medicare billing, Mississippi enrollment
  • 113 clinicians in this Medicare group
Specialist
1108 BELMONT PL
Metairie, LA 70001
  • Reassigned Medicare billing, Mississippi enrollment
  • 96 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Winston Medical Center & Swingbed

Acute Care Hospitals · Louisville, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250027
Location17550 East Main StreetLouisville, MS 39339 · Winston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39365 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

Clinic/Center (Urgent Care)
209 MAIN ST
UNION, MS 39365

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 Jerica Hazelwood's NPI number?

The NPI number for Jerica Hazelwood is 1740023688. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Jerica Hazelwood located?

Jerica Hazelwood practices at 209 Main St, Union, MS 39365. The listed phone number is (769) 222-7008.

What is Jerica Hazelwood's specialty?

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

Is Jerica Hazelwood enrolled in Medicare?

Yes. Jerica Hazelwood 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.

Which organizations bill Medicare for Jerica Hazelwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerica Hazelwood reassigns Medicare benefits to 6 organizations: Hometown Urgent Care And Family Medicine (Union, MS), On-Site Health LLC (Flowood, MS), Wound Management Specialists, LLC (Flowood, MS), Neshoba County General Hospital (Philadelphia, MS), Panola Physician Group, LLC (Batesville, MS) and 1 more organization, listed in the Medicare section above. 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 Jerica Hazelwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerica Hazelwood accept?

Health plans from Cigna Healthcare and Molina Healthcare list Jerica Hazelwood 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 Jerica Hazelwood affiliated with any hospitals?

According to CMS data, Jerica Hazelwood is affiliated with Winston Medical Center & Swingbed.

When was this NPI record last updated?

The NPPES record for Jerica Hazelwood was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.