NPIMap

Individual provider Active NPI

Nathan R Hawkins, PA.C

  • Surgical Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1265460679
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3690 Issued in CO
Practice address
702A W Drake Rd
Fort Collins, CO 80526-5521
Phone
(970) 810-0255
Fax
(970) 966-2599
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3690 CO Primary

Addresses

Primary practice location

702A W Drake Rd
Fort Collins, CO 80526-5521

Mailing address

2500E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130823001232 CO Practitioner - Physician Assistant 7315976156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

2964 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 667-7755

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

730 14TH St SW
Loveland, CO 80537-6349
Phone (970) 663-0815

Hospital & facility affiliations

  • Banner Fort Collins Medical Center Hospital, Fort Collins, CO, CCN 060126
  • East Morgan County Hospital Hospital, Brush, CO, CCN 061303
  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • Platte County Hospital Hospital, Wheatland, WY, CCN 531305
  • Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076

Merit-based Incentive Payment System (MIPS)

Final score
74.72 of 100Reported as group
Quality
70.39
Promoting interoperability
71
Improvement activities
40
Cost
69.52

Merit-based Incentive Payment System (MIPS)

Final score
95.91 of 100Reported as apm
Quality
86.22
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3690COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Nov 1, 2024 Accepting new patients
Gastroenterology Associates of Colorado Springs LLP Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Nov 1, 2024 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1699 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 387-2144

702 W Drake Rd
Ste A
Fort Collins, CO 80526
Phone (970) 229-4600

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1265460679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702A W DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265521",
            "telephone_number": "970-810-0255",
            "fax_number": "970-966-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "NATHAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.