AMANDA MARIE DALIA HAZELTINE DNP, MS, AGACNP-BC
NPI 1750007431
Nurse Practitioner - Gerontology in Duarte, CA

Q: What is Amanda Hazeltine's NPI number?

The NPI number for Amanda Hazeltine is 1750007431. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Q: What is Amanda Hazeltine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Hazeltine was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 October 14, 2022PECOS EnrolledAccepts Medicare Assignment

1500 DUARTE RD, DUARTE, CA 91010(800) 826-4673 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Sep 18, 2025, Aug 9, 2024 and 2 more (5 updates tracked since 2022).

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About Amanda Marie Dalia Hazeltine Dnp, Ms, Agacnp-bc NPPES

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

AMANDA MARIE DALIA HAZELTINE DNP, MS, AGACNP-BC (NPI 1750007431) is an individual gerontology provider in Duarte, California, licensed in California (NP95027398) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750007431

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMANDA MARIE DALIA HAZELTINECredential: DNP, MS, AGACNP-BC

Location Address1500 DUARTE RDDuarte, CA 91010-3012

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(800) 826-4673

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 14, 2022

Last NPPES UpdateNovember 24, 20255 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1750007431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in CA · NP95027398

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95027398 (CA), RN2346236 (MA)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95027398 (CA)

1500 DUARTE RD, Duarte, CA 91010

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Secondary Practice Location 1

Location 1757 Westwood PlzLos Angeles, CA 90095-0001 · Phone (310) 825-6301 · Fax (310) 825-7473

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

Amanda Marie Dalia Hazeltine Dnp, Ms, Agacnp-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 ID42689234

PECOS Enrollment IDI20240822004338

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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

28 services15 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services17 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

22 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

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