KEMBA HAZELEY NNP-BC
NPI 1811505928
Nurse Practitioner - Neonatal, Critical Care in Bronx, NY
About Kemba Hazeley Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEMBA HAZELEY NNP-BC (NPI 1811505928) is an individual neonatal, critical care provider in Bronx, New York, licensed in New York (F350491) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kemba Hazeley Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kemba Hazeley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterbury, CT 06708
- Reassigned Medicare billing, Connecticut enrollment
- 152 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 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 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kemba Hazeley's NPI number?
The NPI number for Kemba Hazeley is 1811505928. It was assigned to this individual provider in the NPPES registry on July 15, 2020.
Where is Kemba Hazeley located?
Kemba Hazeley practices at 1825 Eastchester Rd Fl 5N, Bronx, NY 10461. The listed phone number is (718) 904-4032.
What is Kemba Hazeley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Kemba Hazeley enrolled in Medicare?
Yes. Kemba Hazeley is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kemba Hazeley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kemba Hazeley reassigns Medicare benefits to 2 organizations: Uconn Health Community Network Medical Group, Inc. (Waterbury, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). 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 Kemba Hazeley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kemba Hazeley was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kemba Hazeley, NNP-BC · NPI 1811505928
Neonatal, Critical Care physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 15, 2020.
## Identity
- **NPI:** 1811505928 (Entity type: Individual)
- **Enumerated:** July 15, 2020
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** F350491 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 EASTCHESTER RD FL 5N, Bronx, NY 10461-2301
- **Phone:** (718) 904-4032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Uconn Health Community Network Medical Group, Inc. (NPI 1548119522, Waterbury, CT); Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** July 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811505928) · Data from the CMS NPPES public registry.