Michelle Dawn Hazen, APRN-CNP
NPI 1902414527ActiveIndividual· Nurse Practitioner, Family· Moscow, ID
Nurse Practitioner, Family (APRN-CNP) with Gritman Medical Center Inc and 1 other group, practicing in Moscow, Idaho. Part D covered 168 prescriptions written in 2024, 86% of them generic. Lists Gritman Medical Center as a hospital affiliation.
Overview
| NPI | 1902414527 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-CNP |
| Sole proprietor | No |
| NPI issued | Jul 20, 2020 |
| Last updated in NPPES | Sep 12, 2025 |
| Certified by provider | Sep 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 65286 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 239 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $7,917 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Gritman Medical Center IncMoscow, ID · 27 clinicians
- Gritman Medical Center IncMoscow, ID · 18 clinicians
Hospital affiliation
- Gritman Medical CenterMoscow, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Moscow
- 1841795804
- 1871900225
- 1255510442
- 1457890162
- 1871567909
- 1700583663