ASHLEY LYNN HAZEMAN – Physician Assistant, NPI 1184366247
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ASHLEY LYNN HAZEMAN
2115 County Road D E Ste C100
Maplewood, MN 551095354
Phone: (702) 065-1358
Type: Location
517 CHATFIELD ST
WINONA, MN 559874572
Phone: (507) 459-5200
Type: Mailing
420 E SARNIA ST
WINONA, MN 559876365
Phone: (507) 454-4341
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $92.
Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($34).
Total Amount
$92
General + Research + Ownership
Payments
6
Total payment records
General Amount
$92
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-05-16
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 |
|---|---|---|---|---|
| I20230516003097 | I | Physician Assistant | MN | 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 | 63 | 26 | $0 |
Insurance plans in this area (ZIP 55109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MN | |
| Clinical Social Worker | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| Clinical Social Worker | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| Physician Assistant | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN |
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