DR. HAZEL G MAHATHA (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104248798
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for DR. HAZEL G MAHATHA (DNP)
9565 Diana Dr
El Paso, TX 799246951
Phone: (915) 887-3410
Type: Location
2415 E Camelback Rd Ste 700
Phoenix, AZ 85016
Phone: (602) 508-6000
Type: Location
430 E Division St
Fond Du Lac, WI 549354560
Phone: (920) 926-4200
Fax: (920) 926-8933
Type: Location
264 PORTA ROSA CIR
SAINT AUGUSTINE, FL 320920495
Phone: (907) 230-9686
Type: Mailing
1600 MONTANA AVE
EL PASO, TX 799025622
Phone: (915) 599-6670
Fax: (915) 775-0549
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: 2023-10-27
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 |
|---|---|---|---|---|
| I20231027000052 | I | Nurse Practitioner | NY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 22 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 33 | 33 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 25 | 19 | $0 |
Insurance plans in this area (ZIP 79924)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | NY | |
| U R O L O G Y | NY | |
| Physician Assistant | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | NY |
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