REBECCA ROSE HAZEN – Family Nurse Practitioner, NPI 1477261139

REBECCA ROSE HAZEN is a healthcare provider. based in Locust grove, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024185743 (VA). The NPI Number for REBECCA ROSE HAZEN is 1477261139

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA ROSE HAZEN
NPI
1477261139
Phone
(571) 316-3828
Address
104 CARLYLE CT
Enumeration Date
11 November 2022
Last Update Date
11 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5406802426
Graduation Year
2022 (4 years ago)
PAC ID
4587024526
Group Practice PAC ID
1951678747
Professional Enrollment ID
I20230721001829
Address ID
VA201864349WA400XXCTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for REBECCA ROSE HAZEN

  • 104 CARLYLE CT

    LOCUST GROVE, VA 225085340

    Phone: (571) 316-3828

    Type: Mailing

  • 4207 GERMANNA HWY STE E

    LOCUST GROVE, VA 225082040

    Phone: (540) 779-5426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Lilly USA, LLC ($55).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$55
View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230721001829INurse PractitionerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 22508)

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Reviews

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Frequently asked questions

What is the registry number for REBECCA ROSE HAZEN?
The registry entry for REBECCA ROSE HAZEN shows NPI 1477261139.
Should I treat REBECCA ROSE HAZEN as an active provider?
Patients and plans typically see REBECCA ROSE HAZEN as active in the national extract.
Which specialty label fits REBECCA ROSE HAZEN?
NPPES ties REBECCA ROSE HAZEN to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit REBECCA ROSE HAZEN in Locust Grove, Virginia?
For routing, start with Locust Grove, Virginia for REBECCA ROSE HAZEN, then verify phone and hours locally.
Why is information missing for REBECCA ROSE HAZEN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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