JACLYN HAZELWONDER (MSN, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1447920848
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for JACLYN HAZELWONDER (MSN, APRN, FNP-BC)
1620 HURSTBOROUGH MANOR DR
HAZELWOOD, MO 630421584
Phone: (314) 625-8821
Type: Mailing
222 S WOODS MILL RD # 550
CHESTERFIELD, MO 630173625
Phone: (314) 434-3049
Type: Location
232 S Woods Mill Rd
Chesterfield, MO 630173485
Phone: (314) 434-1500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $566.
Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($144).
Total Amount
$566
General + Research + Ownership
Payments
19
Total payment records
General Amount
$566
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $144 |
| Teleflex LLC | $126 |
| Medtronic, Inc. | $111 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $96 |
| Silk Road Medical, Inc. | $36 |
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: 2024-06-07
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 |
|---|---|---|---|---|
| I20240607003422 | I | Nurse Practitioner | MO | 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 63042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Thoracic Surgery | MO | |
| Nurse Practitioner | MO | |
| Cardiac Surgery, Thoracic Surgery | MO | |
| Vascular Surgery, General Surgery | MO | |
| Nurse Practitioner | MO | |
| Cardiac Surgery, Thoracic Surgery, Vascular Surgery | MO | |
| Nurse Practitioner | MO | |
| Vascular Surgery, Critical Care (Intensivists), General Surgery | MO | |
| Nurse Practitioner | MO |
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