Individual provider Active NPI

Sara Elizabeth Hawken, CRNP

  • Adult Health Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1043366412
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024168945 Issued in VA
Practice address
3350 Berkmar Dr
Charlottesville, VA 22901-1491
Phone
(434) 923-4651
Fax
(434) 964-3636
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-102711 AL
Adult Health Nurse Practitioner 363LA2200X 0024168945 VA Primary

Addresses

Primary practice location

3350 Berkmar Dr
Charlottesville, VA 22901-1491

Mailing address

3350 Berkmar Dr
Charlottesville, VA 22901-1491
Phone (434) 923-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000011 VA Practitioner - Nurse Practitioner 7113199464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Miami Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albemarle Dermatology Associates, LLCGroup PAC ID 5698707107, 6 clinicians

Practice addresses (Care Compare)

3350 Berkmar Dr
Charlottesville, VA 22901-1491
Phone (434) 923-4651

Merit-based Incentive Payment System (MIPS)

Final score
84.35 of 100Reported as group
Quality
68.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-102711ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Dermatology Associates, LLC CurrentSince Jan 5, 2015 Accepting new patients

Locations

3350 Berkmar Dr
Charlottesvle, VA 22901
Phone (434) 923-4651

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1043366412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 BERKMAR DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011491",
            "telephone_number": "434-923-4651",
            "fax_number": "434-964-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BERKMAR DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011491",
            "telephone_number": "434-923-4651",
            "fax_number": "434-964-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKEN",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-102711",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024168945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.