Individual provider Active NPI

Brooke Hawkins, PA

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1225428089
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113839 Issued in FL
Practice address
1613 N Mills Ave
Orlando, FL 32803-1849
Phone
(407) 894-4474
NPI assigned
Feb 2, 2015
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113839 FL Primary
Medical Physician Assistant 363AM0700X PA9113839 FL

Addresses

Primary practice location

1613 N Mills Ave
Orlando, FL 32803-1849

Mailing address

1613 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 894-4474

Other practice location 1

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (321) 841-6444

Other practice location 2

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone (407) 894-4474

Other practice location 3

755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885
Phone (407) 894-4474

Other practice location 4

2984 Alafaya Trl Ste 1000
Oviedo, FL 32765-7628
Phone (407) 894-4474

Other practice location 5

1925 Mizell Ave Ste 100
Winter Park, FL 32792-4155
Phone (407) 894-4474

Other names 1

  • Brooke Lassiter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210604000125 FL Practitioner - Physician Assistant 6002128758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1613 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 894-4474

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2701TNMDOccupational Therapy Assistant
PA9113839FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Dec 4, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients

Locations

689 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 767-7262

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

1613 N Mills Ave
Orlando, FL 32803
Phone 40789444741145

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2984 Alafaya Trl
Ste 1000
Oviedo, FL 32765
Phone (407) 588-1585

1925 Mizell Ave
Ste 100
Winter Park, FL 32792
Phone (407) 539-2099

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bhawkins1933937@adventhealth.direct-ci.com
  • Direct secure messaging: bhawkins221868@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1225428089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031849",
            "telephone_number": "407-894-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031849",
            "telephone_number": "407-894-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061215",
            "country_code": "US",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "689 E Altamonte Dr",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014801",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Rinehart Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464885",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2984 Alafaya Trl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657628",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Mizell Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924155",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113839",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "LASSITER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.