CAMILLE HAZLEWOOD – Nurse Practitioner, NPI 1083299325
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for CAMILLE HAZLEWOOD
905 HISTORIC GOLDSBORO BLVD
SANFORD, FL 327712415
Phone: (407) 337-6992
Type: Location
4407 DREXEL AVE
ORLANDO, FL 328081901
Phone: (321) 356-7814
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,058.
Total Amount is formed as General ($1,058) + Research ($0) + Ownership ($0) = $1,058.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ABBVIE INC. ($367).
Total Amount
$1,058
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $367 |
| Novo Nordisk Inc | $195 |
| IDORSIA PHARMACEUTICALS US INC | $173 |
| Lundbeck LLC | $147 |
| Lilly USA, LLC | $49 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220519001235 | I | Nurse Practitioner | FL | TBD |
| I20260112003377 | I | Nurse Practitioner | TX | TBD |
| I20260114002290 | I | Nurse Practitioner | KY | TBD |
| I20260116002634 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32771)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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