STACY L HAZELTON NP
NPI 1740421916
Nurse Practitioner in Rockford, IL

Q: What is Stacy Hazelton's NPI number?

The NPI number for Stacy Hazelton is 1740421916. It was assigned to this individual provider in the NPPES registry on March 17, 2009.

Q: What is Stacy Hazelton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Hazelton was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 17, 2009PECOS Enrolled

2400 N ROCKTON AVE, ROCKFORD, IL 61103(815) 971-2000 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Stacy L Hazelton Np NPPES

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

STACY L HAZELTON NP (NPI 1740421916) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209007443) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740421916

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACY L HAZELTONCredential: NP

Location Address2400 N ROCKTON AVERockford, IL 61103-3655

Mailing Address2400 N Rockton AveRockford, IL 61103-3655 · (815) 971-2000

Phone(815) 971-2000

Sole ProprietorNo

Enumeration DateMarch 17, 2009

Last NPPES UpdateMarch 30, 2009

✔ NPI 1740421916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209007443

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2400 N ROCKTON AVE, Rockford, IL 61103

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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)

Stacy L Hazelton Np 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 61103 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

KIMBERLY REMEDIOS-SMITH M.D.

Pediatrics (Neonatal-Perinatal Medicine)