Individual provider Active NPI

Lesley Anne Hawley, M.D.

  • Dermatology Physician
  • Springfield, MO
National Provider Identifier
1295963536
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2017041408 Issued in MO
Practice address
3808 S Greystone CT
Springfield, MO 65804-6561
Phone
(417) 889-3332
Fax
(417) 881-1410
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25909 NE
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 2017041408 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3808 S Greystone CT
Springfield, MO 65804-6561

Mailing address

3808 S Greystone CT
Springfield, MO 65804-6561
Phone (417) 889-3332

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ozarksderm@ozarksderm.emadirect.md Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802002884 MO Practitioner - Dermatology 9335497650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Creighton University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3808 S Greystone CT
Springfield, MO 65804-6561
Phone (417) 889-3332

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as individual
Quality
77.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of skin lesions1672
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017041408MOMDDermatology Physician
25909NEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jenifer Insley MD LLC Single Specialty Current Accepting new patients
Raffaele Pennella MD LLC Single Specialty Current Accepting new patients
Lesley Hawley MD LLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Ozarks Medical Center Single Specialty Past Accepting new patients

Locations

3808 S Greystone Ct
Springfield, MO 65804
Phone (417) 889-3332

Interoperability endpoints

  • Direct secure messaging: ozarksderm@ozarksderm.emadirect.md

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 3

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1295963536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S GREYSTONE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046561",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 S GREYSTONE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046561",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "LESLEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "25909",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2017041408",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ozarksderm@ozarksderm.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3808 S Greystone Ct",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658046561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.