TIFFINIE HAZEN ARNP FNP-BC
NPI 1780435115
Nurse Practitioner in Ottawa, KS

Active since April 01, 2024PECOS EnrolledAccepts Medicare Assignment
811 LIBERTY ST, OTTAWA, KS 66067(785) 418-4755 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tiffinie Hazen Arnp Fnp-bc NPPES

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

TIFFINIE HAZEN ARNP FNP-BC (NPI 1780435115) is an individual nurse practitioner in Ottawa, Kansas, licensed in Kansas (5383059051) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780435115
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFINIE HAZENCredential: ARNP FNP-BC
Location Address811 LIBERTY STOttawa, KS 66067-3167
Mailing Address811 Liberty StOttawa, KS 66067-3167
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1780435115 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 KS · 5383059051
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.
811 LIBERTY ST, Ottawa, KS 66067

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

Tiffinie Hazen Arnp 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 ID7315388998
PECOS Enrollment IDI20240514001931
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

3

Medicare enrollment records show Tiffinie Hazen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1418 S MAIN ST, SUITE 5
Ottawa, KS 66067
  • Reassigned Medicare billing, Kansas enrollment
  • 20 clinicians in this Medicare group
Wound Care
9700 W 62ND ST
Shawnee, KS 66203
  • Reassigned Medicare billing, Kansas enrollment
  • 9 clinicians in this Medicare group
Multi-Specialty
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 260 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66067 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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 Tiffinie Hazen's NPI number?

The NPI number for Tiffinie Hazen is 1780435115. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Tiffinie Hazen located?

Tiffinie Hazen practices at 811 Liberty St, Ottawa, KS 66067. The listed phone number is (785) 418-4755.

What is Tiffinie Hazen's specialty?

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

Is Tiffinie Hazen enrolled in Medicare?

Yes. Tiffinie Hazen 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 Tiffinie Hazen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffinie Hazen reassigns Medicare benefits to 3 organizations: Ottawa Family Physicians, Chartered (Ottawa, KS), Caremed Health Solutions Of Kansas LLC (Shawnee, KS) and Signify Health Medical Associates Of Kansas LLC (Wichita, KS). 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 Tiffinie Hazen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffinie Hazen accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Tiffinie Hazen 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.

When was this NPI record last updated?

The NPPES record for Tiffinie Hazen was last updated on April 1, 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.