Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rebecca Rose Hazen

Individual provider Family Nurse Practitioner · NPI 1477261139

Rebecca Rose Hazen is a Nurse Practitioner in Locust Grove, Virginia. Qualified in 2022, 4 years ago. Practices with Lifestyle Physicians LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022

Practice location Address checks out

4207 Germanna Hwy Ste E
Locust Grove, VA 22508-2040
Phone: (540) 779-5426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024185743 (VA)

Record details

NPI number1477261139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2022
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifestyle Physicians Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Locust Grove