Ms Michelle Dawn Hazen, APRN-CNP - Medicare Nurse Practitioner in Moscow, ID

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Ms Michelle Dawn Hazen, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Moscow, Idaho. Her current practice location is 831 S Ash St, Moscow, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 885-6693.

Ms Michelle Dawn Hazen is licensed to practice in Idaho (license number 65286) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902414527.

Contact Information

Ms Michelle Dawn Hazen, APRN-CNP
831 S Ash St,
Moscow, ID 83843
(208) 885-6693
Not Available

Map and Direction




Provider's Profile

Full NameMs Michelle Dawn Hazen
GenderFemale
SpecialityNurse Practitioner - Family
Location831 S Ash St, Moscow, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902414527
  • Provider Enumeration Date: 07/20/2020
  • Last Update Date: 09/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4486064474
  • Enrollment ID: I20201103000753

Medical Identifiers

Medical identifiers for Ms Michelle Dawn Hazen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902414527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 65286 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Michelle Dawn Hazen allows following entities to bill medicare on her behalf.
Entity NameGritman Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619988144
PECOS PAC ID: 8729070164
Enrollment ID: O20040402001021
Entity NameGritman Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538634522
PECOS PAC ID: 0941545784
Enrollment ID: O20181221002296

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Michelle Dawn Hazen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Michelle Dawn Hazen, APRN-CNP
5217 Robinson Park Rd,
Moscow, ID 83843-9194

Ph: (208) 761-2408		Ms Michelle Dawn Hazen, APRN-CNP
831 S Ash St,
Moscow, ID 83843

Ph: (208) 885-6693

Reviews and Comments


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Jordan Harlow, NP
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Phone: 208-882-7565    
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Phone: 208-882-7565    Fax: 208-882-7567
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Sheila Lynn Price, FNP-C
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Clint Emmett, APRN
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Phone: 208-885-6716    Fax: 208-885-4354

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.