ALEXANDRIA JORDAN HAZELGROVE NP
NPI 1952066102
Nurse Practitioner - Family in Boise, ID
About Alexandria Jordan Hazelgrove Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRIA JORDAN HAZELGROVE NP (NPI 1952066102) is an individual family provider in Boise, Idaho, licensed in Idaho (56249) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Alexandria Jordan Hazelgrove Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alexandria Hazelgrove's NPI number?
The NPI number for Alexandria Hazelgrove is 1952066102. It was assigned to this individual provider in the NPPES registry on November 2, 2021.
Where is Alexandria Hazelgrove located?
Alexandria Hazelgrove practices at 1529 Belmont St, Boise, ID 83706. The listed phone number is (916) 494-9256.
What is Alexandria Hazelgrove's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alexandria Hazelgrove enrolled in Medicare?
Yes. Alexandria Hazelgrove is registered in the Medicare PECOS enrollment system.
What insurance does Alexandria Hazelgrove accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Alexandria Hazelgrove 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 Alexandria Hazelgrove was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Alexandria Jordan Hazelgrove, NP · NPI 1952066102
Family physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since November 2, 2021.
## Identity
- **NPI:** 1952066102 (Entity type: Individual)
- **Enumerated:** November 2, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 56249 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1529 BELMONT ST, Boise, ID 83706
- **Phone:** (916) 494-9256
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** November 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952066102) · Data from the CMS NPPES public registry.