Individual provider Active NPI

Missy S Hawes, NP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1043380363
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30003657 Issued in KY
Practice address
3026 Poplar Level Rd
Louisville, KY 40217-1301
Phone
(502) 636-4929
Fax
(502) 394-3629
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30003657 KY Primary

Addresses

Primary practice location

3026 Poplar Level Rd
Louisville, KY 40217-1301

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 559-9415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231218000530 KY Practitioner - Nurse Practitioner 6002265923 Reassigns benefits to 1 organization
I20241004003240 IN Practitioner - Nurse Practitioner 6002265923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30003657KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Family CurrentSince Dec 1, 2023 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics Past Accepting new patients
All Children Pediatrics Holdings, PLLC Family Past Accepting new patients

Locations (25 of 38)

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

2051 Clevidence Blvd
Ste C
Clarksville, IN 47129
Phone (812) 280-6623

3118 E 10th St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 282-6979

207 Sparks Ave
Ste 403
Jeffersonvlle, IN 47130
Phone (812) 288-9141

615 7th Ave
Bowling Green, KY 42101
Phone (270) 783-3573

1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107

202 Limestone St S
Ste 1
Frankfort, KY 40601

4 Physicians Park
Frankfort, KY 40601
Phone (502) 223-8400

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

2225 W Broadway
Ste B
Louisville, KY 40211
Phone (502) 588-1090

2933 Breckenridge Ln
Ste 102
Louisville, KY 40220
Phone (502) 588-9588

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

3840 Ruckriegel Pkwy
Ste 105
Louisville, KY 40299
Phone (502) 261-7227

4010 DuPont Cir
Ste 283
Louisville, KY 40207
Phone (502) 897-1727

10211 Westport Rd
Louisville, KY 40241
Phone (502) 339-0444

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

4420 Dixie Hwy
Ste 126
Louisville, KY 40216
Phone (502) 810-3780

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811

6801 Dixie Hwy
Ste 127
Louisville, KY 40258
Phone (502) 355-6339

1169 Eastern Pkwy
Ste 100
Louisville, KY 40217
Phone (502) 588-0700

411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600

5109 New Cut Rd
Louisville, KY 40214
Phone (502) 361-1197

189 Outer Loop
Ste 2
Louisville, KY 40214
Phone (502) 379-8870

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

Interoperability endpoints

  • Direct secure messaging: mhawes97846@direct.nortonhealthcare.org

Organizations & group practices 5

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1043380363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-559-9415",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171301",
            "telephone_number": "502-636-4929",
            "fax_number": "502-394-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWES",
        "first_name": "MISSY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "30003657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.