NPIMap

Individual provider Active NPI

Jennifer Louise Hawk, FNP-C

  • Family Nurse Practitioner
  • Hurricane, WV
National Provider Identifier
1619405834
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN75785-NP-C Issued in WV
Practice address
3752 Teays Valley Rd
Hurricane, WV 25526-9705
Phone
(304) 757-3131
Fax
(304) 760-6173
NPI assigned
Jun 1, 2017
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 APRN75785-NP-C WV Primary

Addresses

Primary practice location

3752 Teays Valley Rd
Hurricane, WV 25526-9705

Mailing address

1100 Grosscup Ave
Dunbar, WV 25064-3120
Phone (304) 768-8811

Other practice location 1

1100 Grosscup Ave
Dunbar, WV 25064-3120
Phone (304) 768-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20180214002612 WV Practitioner - Nurse Practitioner 3274893151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dunbar Medical Associates PLLCGroup PAC ID 7517868813, 12 clinicians

Practice addresses (Care Compare)

3752 Teays Valley Rd
Hurricane, WV 25526-9705
Phone (304) 757-3131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dunbar Medical Associates PLLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

1100 Grosscup Ave
Dunbar, WV 25064
Phone (304) 768-2764

3752 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-3131

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.94031

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1619405834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GROSSCUP AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643120",
            "telephone_number": "304-768-8811",
            "fax_number": "304-768-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269705",
            "telephone_number": "304-757-3131",
            "fax_number": "304-760-6173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Grosscup Ave",
            "address_purpose": "LOCATION",
            "city": "Dunbar",
            "state": "WV",
            "postal_code": "250643120",
            "country_code": "US",
            "telephone_number": "304-768-8811",
            "fax_number": "304-768-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWK",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN75785-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.