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HAZEL HEALTHCARE LLC
NPI 1962266403
Nurse Practitioner in Meridian, ID

Active since February 06, 2024
2584 N STOKESBERRY PL, MERIDIAN, ID 83646(208) 906-2558 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hazel Healthcare Llc NPPES

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

HAZEL HEALTHCARE LLC (NPI 1962266403) is a healthcare organization registered as a nurse practitioner in Meridian, Idaho and active in the NPI registry since February 2024. The organization lists Laura D Carter, Co-owner/ Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1962266403
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHAZEL HEALTHCARE LLC
Location Address2584 N STOKESBERRY PLMeridian, ID 83646-1144
Mailing Address2584 N Stokesberry PlMeridian, ID 83646-1144 · (208) 906-2558
Phone(208) 906-2558
Organization SubpartNo
Authorized OfficialLaura D CarterCo-owner/ Clinical Director · (208) 906-2558
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1962266403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2584 N STOKESBERRY PL, Meridian, ID 83646
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hazel Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hazel Healthcare LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Eva Bingham, DNP, FNP-C
Nurse Practitioner
NPI 1679189732
2584 N STOKESBERRY PL
Meridian, ID 83646
(208) 906-2558
✔ PECOS✔ Accepts MedicareSame address
John Meirndorf, APRN-CNP,
Nurse Practitioner
NPI 1710710165
2584 N STOKESBERRY PL
Meridian, ID 83646
(208) 906-2558
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hazel Healthcare LLC's NPI number?

The NPI number for Hazel Healthcare LLC is 1962266403. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is Hazel Healthcare LLC located?

Hazel Healthcare LLC is located at 2584 N Stokesberry Pl, Meridian, ID 83646. The listed phone number is (208) 906-2558.

What is Hazel Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hazel Healthcare LLC enrolled in Medicare?

Yes. Hazel Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hazel Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hazel Healthcare LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hazel Healthcare LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Hazel Healthcare LLC 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 Hazel Healthcare LLC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.