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MRS. NICHOLE WRAE HAZUKA PA-C
NPI 1801288311
Physician Assistant in Mesa, AZ

Active since February 21, 2015PECOS Enrolled
8405 E BASELINE RD STE 104, MESA, AZ 85209(480) 674-3295(725) 239-7974 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nichole Wrae Hazuka Pa-c NPPES

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

MRS. NICHOLE WRAE HAZUKA PA-C (NPI 1801288311) is an individual physician assistant in Mesa, Arizona, licensed in Colorado (4219) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801288311
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICHOLE WRAE HAZUKACredential: PA-C
Location Address8405 E BASELINE RD STE 104Mesa, AZ 85209-4376
Mailing Address8405 E Baseline Rd Ste 104Mesa, AZ 85209-4376 · (480) 674-3295 · Fax (725) 239-7974
Phone(480) 674-3295
Fax(725) 239-7974
Sole ProprietorNo
Enumeration DateFebruary 21, 2015
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1801288311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 4219
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8405 E BASELINE RD STE 104, Mesa, AZ 85209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nichole Wrae Hazuka Pa-c 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 85209 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 4

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

DL PROFESSIONAL SERVICES LLC
Dermatology
8405 E BASELINE RD STE 104
MESA, AZ 85209
Maricopa County (480) 674-3295
J RYAN JACKSON DO
Dermatology (MOHS-Micrographic Surgery)
8405 E BASELINE RD STE 104
MESA, AZ 85209
Maricopa County (480) 674-3295
AMANDA KAITLIN MURPHY PA-C
Physician Assistant
8405 E BASELINE RD STE 104
MESA, AZ 85209
Maricopa County (480) 674-3295
MS. APRIL NICHOLE WYMA APRN
Nurse Practitioner (Family)
8405 E BASELINE RD STE 104
MESA, AZ 85209
Maricopa County (480) 674-3295

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 Nichole Hazuka's NPI number?

The NPI number for Nichole Hazuka is 1801288311. It was assigned to this individual provider in the NPPES registry on February 21, 2015.

Where is Nichole Hazuka located?

Nichole Hazuka practices at 8405 E Baseline Rd Ste 104, Mesa, AZ 85209. The listed phone number is (480) 674-3295.

What is Nichole Hazuka's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nichole Hazuka enrolled in Medicare?

Yes. Nichole Hazuka is registered in the Medicare PECOS enrollment system.

What insurance does Nichole Hazuka accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Nichole Hazuka 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 Nichole Hazuka was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.