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MR. GORDON ANTHONY HAZLETTE CRNA
NPI 1790895662
Nurse Anesthetist, Certified Registered in Wright-patterson Afb, OH

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
88 MDG/SGHJ, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 42433(937) 257-6529 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2020, Apr 24, 2018 (2 updates tracked since 2018).

About Mr. Gordon Anthony Hazlette Crna NPPES

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

MR. GORDON ANTHONY HAZLETTE CRNA (NPI 1790895662) is an individual nurse anesthetist, certified registered in Wright-patterson Afb, Ohio, licensed in Virginia (0024167039) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Biloxi.

NPPES Registry Identity

NPI1790895662
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. GORDON ANTHONY HAZLETTECredential: CRNA
Location Address88 MDG/SGHJ, 4881 SUGAR MAPLE DR.Wright-patterson Afb, OH 42433
Mailing Address301 Fisher StBiloxi, MS 39534-2508 · (228) 376-6018
Phone(937) 257-6529
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1790895662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in VA · 0024167039
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
88 MDG/SGHJ, Wright-patterson Afb, OH 42433
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Secondary Practice Location 1

Location 1301 Fisher StBiloxi, MS 39534-2508 · Phone (228) 376-6018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Mr. Gordon Anthony Hazlette Crna 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 ID3577663921
PECOS Enrollment IDI20210719001227
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 Gordon Hazlette reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Anesthesia & Pain Services, LLC
8.3 mi
Anesthesiology
405 W GRAND AVE
Dayton, OH 45405
  • Reassigned Medicare billing, Ohio enrollment
  • 419 clinicians in this Medicare group
NPI 1629401898 (937) 723-3200
Western Ohio Sedation Associates, LLC
8.4 mi
Nurse Anesthetist, Certified Registered
75 SYLVANIA DR
Beavercreek, OH 45440
  • Reassigned Medicare billing, Ohio enrollment
  • 58 clinicians in this Medicare group
NPI 1649777699 (937) 320-5050
Phs Anesthesia Billing, LLC
26 mi
Anesthesiology
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 299 clinicians in this Medicare group
NPI 1578361044 (513) 974-2111
Resource Anesthesia Highlands Inc
47 mi
Nurse Anesthetist, Certified Registered
1275 N HIGH ST
Hillsboro, OH 45133
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group
NPI 1508113903 (937) 393-6100
Anesthesia Associates Of Cincinnati, Inc
53 mi
Anesthesiology
2139 AUBURN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 317 clinicians in this Medicare group
NPI 1316945173 (513) 585-2000
Gulf Anesthesia Services LLC
706 mi
Nurse Anesthetist, Certified Registered
12504 WINDANCE DR
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment
  • 17 clinicians in this Medicare group
NPI 1548696925 (228) 860-0820

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.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

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 Gordon Hazlette's NPI number?

The NPI number for Gordon Hazlette is 1790895662. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Gordon Hazlette located?

Gordon Hazlette practices at 88 Mdg/Sghj 4881 Sugar Maple Dr., Wright-Patterson Afb, OH 42433. The listed phone number is (937) 257-6529.

What is Gordon Hazlette's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Gordon Hazlette enrolled in Medicare?

Yes. Gordon Hazlette 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 Gordon Hazlette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gordon Hazlette reassigns Medicare benefits to 6 organizations: Dayton Anesthesia & Pain Services, LLC (Dayton, OH), Western Ohio Sedation Associates, LLC (Beavercreek, OH), Phs Anesthesia Billing, LLC (Middletown, OH), Resource Anesthesia Highlands Inc (Hillsboro, OH), Anesthesia Associates Of Cincinnati, Inc (Cincinnati, OH) 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 Gordon Hazlette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gordon Hazlette accept?

Health plans from CareSource and Oscar Health Insurance list Gordon Hazlette 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 Gordon Hazlette affiliated with any hospitals?

According to CMS data, Gordon Hazlette is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Gordon Hazlette was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.