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KELSEY AYAKO HAZAMA PA-S
NPI 1780352328
Physician Assistant - Medical in Seattle, WA

Active since August 30, 2021PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
4311 11TH AVE NE STE 200, SEATTLE, WA 98105(206) 616-4001 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Ayako Hazama Pa-s NPPES

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

KELSEY AYAKO HAZAMA PA-S (NPI 1780352328) is an individual medical provider in Seattle, Washington and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780352328
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELSEY AYAKO HAZAMACredential: PA-S
Location Address4311 11TH AVE NE STE 200Seattle, WA 98105-6367
Mailing Address4311 11th Ave Ne Ste 200Seattle, WA 98105-6367
Phone(206) 616-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2021
Last NPPES UpdateNovember 21, 2022
NPPES CertifiedOctober 21, 2022
✔ NPI 1780352328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4311 11TH AVE NE STE 200, Seattle, WA 98105
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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 and accepts Medicare assignment

Kelsey Ayako Hazama Pa-s 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 ID9638548209
PECOS Enrollment IDI20221205001034
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services17 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

ROGER SHERMAN PA-C
Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (216) 616-4001
DARCY LEIGH MULLIGAN
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
MERON H MILES
Physician Assistant (Surgical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
ANDREW SCOTT MISCOVICH PA-S
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
LAURYN LOUISE CARR PA-C
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
MR. GABRIEL KRISTOPHER PUNAHELE IZUMI
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
JUNGSHENG SU
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
QUINSEY CHERI JORGENSON-DELACRUZ
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001

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 Kelsey Hazama's NPI number?

The NPI number for Kelsey Hazama is 1780352328. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Kelsey Hazama located?

Kelsey Hazama practices at 4311 11th Ave NE Ste 200, Seattle, WA 98105. The listed phone number is (206) 616-4001.

What is Kelsey Hazama's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelsey Hazama enrolled in Medicare?

Yes. Kelsey Hazama 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.

When was this NPI record last updated?

The NPPES record for Kelsey Hazama was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.