Nicole R Hazelwood is a Jackson, Missouri based nurse anesthetist with 16 years of experience as Anesthesia Administration. She completed she graduation in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole R Hazelwood is 2002019453 for Anesthesia Administration in Missouri. Her current practice location is 216 Elm St, Jackson. Patients can reach her at 573-576-1903. Nicole R Hazelwood is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1558504076. Nicole R Hazelwood is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Nicole R Hazelwood speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
16+ years
Medical School Attended:
Other
Graduation Year:
2009
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
216 Elm St, Jackson, Missouri, 63755-1708
Phone:
573-576-1903
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4688726383
Enrollment ID:
I20090709000776
NPI Number:
1558504076
NPI Enumeration Date:
14 Apr, 2009
NPI Last Update On:
08 Nov, 2021
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole R Hazelwood are as mentioned below.
License Number
Specialization
State
Status
2002019453
Anesthesia Administration
Missouri
Primary
041429789
Anesthesia Administration
Illinois
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Pemiscot County Memorial Hospital (260070)
Hayti, MO
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicole R Hazelwood has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pemiscot County Memorial Hospital (8426024159)
36
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole R Hazelwood such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110375
Other
Missouri
HEALTHLINK
P00726014
Other
Missouri
RAILROAD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
216 Elm St, Jackson, Missouri
Zip:
63755-1708
Phone Number:
573-576-1903
Fax Number:
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Patients can reach Nicole R Hazelwood at 216 Elm St, Jackson, Missouri or can call to book an appointment on 573-576-1903.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.