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KEMBA HAZELEY NNP-BC
NPI 1811505928
Nurse Practitioner - Neonatal, Critical Care in Bronx, NY

Active since July 15, 2020PECOS Enrolled
1825 EASTCHESTER RD FL 5N, BRONX, NY 10461(718) 904-4032 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1811505928
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameKEMBA HAZELEYCredential: NNP-BC
Location Address1825 EASTCHESTER RD FL 5NBronx, NY 10461-2301
Mailing Address111 N 3rd Ave Apt 3uMount Vernon, NY 10550-1375 · (845) 323-5620
Phone(718) 904-4032
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019
Enumeration DateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
✔ NPI 1811505928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in NY · F350491
1825 EASTCHESTER RD FL 5N, Bronx, NY 10461
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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 (PECOS)

Kemba Hazeley Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860802576
PECOS Enrollment IDI20251205003049
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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 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.

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.