Individual provider Active NPI

Desiree Nicole Hawkins, CRNP

  • Family Nurse Practitioner
  • Girard, PA
National Provider Identifier
1295623957
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033168 Issued in PA
Practice address
5165 Imperial Pkwy
Girard, PA 16417-9524
Phone
(814) 774-3128
Fax
(814) 774-0915
NPI assigned
Jun 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP033168 PA
Family Nurse Practitioner 363LF0000X SP033168 PA Primary

Addresses

Primary practice location

5165 Imperial Pkwy
Girard, PA 16417-9524

Mailing address

5165 Imperial Pkwy
Girard, PA 16417-9523
Phone (814) 774-3128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250814000743 PA Practitioner - Nurse Practitioner 5991204380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

5165 Imperial Pkwy
Girard, PA 16417-9523
Phone (814) 774-3128

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Jul 14, 2025 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

5165 Imperial Pkwy
Girard, PA 16417
Phone (814) 452-5231

Interoperability endpoints

  • Direct secure messaging: dhawkins151862@direct.ahn.org

Organizations & group practices 2

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 1

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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1295623957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 IMPERIAL PKWY",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164179523",
            "telephone_number": "814-774-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 IMPERIAL PKWY",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164179524",
            "telephone_number": "814-774-3128",
            "fax_number": "814-774-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "DESIREE",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP033168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, PA

Sources for this page

Verify at the official NPI Registry.