MS. MICHELLE DAWN HAZEN APRN-CNP
NPI 1902414527
Nurse Practitioner - Family in Moscow, ID

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
831 S ASH ST, MOSCOW, ID 83843(208) 885-6693 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Sep 29, 2020, Jul 20, 2020 (3 updates tracked since 2020).

About Ms. Michelle Dawn Hazen Aprn-cnp NPPES

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

MS. MICHELLE DAWN HAZEN APRN-CNP (NPI 1902414527) is an individual family provider in Moscow, Idaho, licensed in Idaho (65286) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1902414527
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MICHELLE DAWN HAZENCredential: APRN-CNP
Location Address831 S ASH STMoscow, ID 83843
Mailing Address5217 Robinson Park RdMoscow, ID 83843-9194 · (208) 761-2408
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 20, 2020
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1902414527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 65286

Secondary Practice Locations 3

Location 1700 S Main StMoscow, ID 83843-3046 · Phone (288) 882-4511 · Fax (208) 883-6580
Location 2623 S Main St Ste 1Moscow, ID 83843-3042 · Phone (208) 882-2011 · Fax (208) 883-1853
Location 35217 Robinson Park RdMoscow, ID 83843-9194 · Phone (208) 761-2408

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Michelle Dawn Hazen Aprn-cnp 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 ID4486064474
PECOS Enrollment IDI20201103000753
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 Michelle Hazen's NPI number?

The NPI number for Michelle Hazen is 1902414527. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Michelle Hazen located?

Michelle Hazen practices at 831 S Ash St, Moscow, ID 83843. The listed phone number is (208) 885-6693.

What is Michelle Hazen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Hazen enrolled in Medicare?

Yes. Michelle 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.

What insurance does Michelle Hazen accept?

Health plans from Providence Health Plan list Michelle 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.

Is Michelle Hazen affiliated with any hospitals?

According to CMS data, Michelle Hazen is affiliated with Gritman Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Hazen was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.