HOLLY D HAZARD (APRN-CNP) – Family Nurse Practitioner, NPI 1144069949
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for HOLLY D HAZARD (APRN-CNP)
1102 W Main St
Henryetta, OK 744374232
Phone: (918) 652-9615
Fax: (918) 652-7612
Type: Location
104 E Shurden Industrial Blvd
Henryetta, OK 744377323
Phone: (918) 652-9614
Fax: (918) 652-4831
Type: Location
109 S Main St
Wetumka, OK 748834015
Phone: (405) 452-5400
Fax: (405) 452-3000
Type: Location
PO BOX 236
WETUMKA, OK 748830236
Phone: (405) 257-5422
Fax: (405) 257-5463
Type: Mailing
207 W 1ST ST
WEWOKA, OK 748842103
Phone: (405) 257-5422
Fax: (405) 257-5463
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2025-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20241107004327 | I | Nurse Practitioner | OK | TBD |
| I20250109000015 | I | Nurse Practitioner | TX | 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 74437)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| - | OK | |
| Family Practice, Obstetrics/Gynecology | ME | |
| Physician Assistant | OK | |
| - | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Mental Health Counselor | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK |
Reviews
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