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KRISTEN ANNE THEOBALD-HAZEL DO
NPI 1932201837
Pediatrics in Osage Beach, MO

Active since September 01, 2006PECOS Enrolled
1057 MEDICAL PARK DR, OSAGE BEACH, MO 65065(573) 302-3100(573) 348-8279 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristen Anne Theobald-hazel Do NPPES

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

KRISTEN ANNE THEOBALD-HAZEL DO (NPI 1932201837) is an individual pediatrics provider in Osage Beach, Missouri, licensed in Missouri (2009001633) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932201837
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTEN ANNE THEOBALD-HAZELCredential: DO
Location Address1057 MEDICAL PARK DROsage Beach, MO 65065-3000
Mailing Address54 Hospital DrOsage Beach, MO 65065-3050 · (573) 302-3100 · Fax (573) 348-8279
Phone(573) 302-3100
Fax(573) 348-8279
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1932201837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2009001633
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1057 MEDICAL PARK DR, Osage Beach, MO 65065
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Other Identifiers 1

Medicaid1447229489MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Anne Theobald-hazel Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kristen Theobald-hazel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richland Medical Center, Inc
Same address
Federally Qualified Health Center (FQHC)
931 HIGHWAY D
Osage Beach, MO 65065
  • Reassigned Medicare billing, Missouri enrollment
  • 78 clinicians in this Medicare group
NPI 1891680617 (877) 406-2662
Lake Regional Health System
1.0 mi
Emergency Medical Services
54 HOSPITAL DR
Osage Beach, MO 65065
  • Reassigned Medicare billing, Missouri enrollment
  • 149 clinicians in this Medicare group
NPI 1053581454 (573) 348-8000

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 65065 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 11

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

DR. TRENT K RUSSELL M.D.
Pediatrics
1057 MEDICAL PARK DR, SUITE A
OSAGE BEACH, MO 65065
Camden County (573) 348-2745
DR. JOHN CARLYN BRAND D.O.
Family Medicine
1057 MEDICAL PARK DR
OSAGE BEACH, MO 65065
Camden County (573) 302-3100
LAKE ORTHOPEDIC GROUP, INC.
Orthopaedic Surgery
1057 MEDICAL PARK DR, SUITE C
OSAGE BEACH, MO 65065
Camden County (573) 348-4432
LAKE REGIONAL HEALTH SYSTEM
Clinic/Center (Rural Health)
1057 MEDICAL PARK DR, SUITE A
OSAGE BEACH, MO 65065
Camden County (573) 302-3100
DR. MARK W. SHEN D.O.
Family Medicine
1057 MEDICAL PARK DR, SUITE A
OSAGE BEACH, MO 65065
Camden County (573) 348-2745
MRS. AMY R LOCKHERT M.D.
Family Medicine
1057 MEDICAL PARK DR
OSAGE BEACH, MO 65065
Camden County (573) 302-3100
DR. RANDALL C BARNES D.O.
Family Medicine
1057 MEDICAL PARK DR, SUITE A
OSAGE BEACH, MO 65065
Camden County (573) 302-3200
MRS. CATHARINE KAHRIG FNP-BC
Nurse Practitioner (Family)
1057 MEDICAL PARK DR
OSAGE BEACH, MO 65065
Camden County (573) 302-3200

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 Kristen Theobald-hazel's NPI number?

The NPI number for Kristen Theobald-hazel is 1932201837. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Kristen Theobald-hazel located?

Kristen Theobald-hazel practices at 1057 Medical Park Dr, Osage Beach, MO 65065. The listed phone number is (573) 302-3100.

What is Kristen Theobald-hazel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristen Theobald-hazel enrolled in Medicare?

Yes. Kristen Theobald-hazel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristen Theobald-hazel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Theobald-hazel reassigns Medicare benefits to 2 organizations: Richland Medical Center, Inc (Osage Beach, MO) and Lake Regional Health System (Osage Beach, MO). 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 Kristen Theobald-hazel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Theobald-hazel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Kristen Theobald-hazel 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 Kristen Theobald-hazel was last updated on September 2, 2021. 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.