DR. HEATHER STEPHANIE HAZEL (MD) – Family Medicine Physician, NPI 1912968504
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for DR. HEATHER STEPHANIE HAZEL (MD)
650 Dickinson Rd
Suite A
Chesterton, IN 463043387
Phone: (219) 926-2133
Fax: (219) 926-8765
Type: Location
2235 CLEVELAND RD
SOUTH BEND, IN 466283529
Phone: (574) 647-4530
Fax: (574) 647-2285
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-1840
Type: Mailing
900 I ST
LA PORTE, IN 463505533
Phone: (219) 324-1700
Type: Location
CareEXPRESS Urgent Care, 650, Dickinson Road, Morgan Park, Chesterton, Porter County, Indiana, 46304, United States
SUITE A
CHESTERTON, IN 463043387
Phone: (219) 926-2133
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050928000873 | I | Family Practice | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 851 | 456 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 250 | 250 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 93 | $0 |
| G0008 | Administration of influenza virus vaccine | 77 | 77 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 74 | 74 | $0 |
Insurance plans in this area (ZIP 46304)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| O P T O M E T R Y | IN | |
| Orthopedic Surgery | IL | |
| U R O L O G Y | MI | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IL | |
| Hospitalist, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery, Hand Surgery | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.