NPI age
5 years
Enumerated 2020-07-20
● Active
Type 1 · Individual
MS. Michelle Dawn Hazen, APRN-CNP
Hazen is 1 of 7 nurse practitioner providers in Moscow and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Practice location
831 S Ash St
Moscow, ID 83843
Mailing address
5217 Robinson Park Rd
Moscow, ID 838439194
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
700 S Main St
Moscow, ID 838433046
Location 3
623 S Main St Ste 1
Moscow, ID 838433042
Location 4
5217 Robinson Park Rd
Moscow, ID 838439194
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.