Individual provider Active NPI

Kaitlin Wells Hawkins, DNP, APRN-FNP

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1831711332
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014829 Issued in KY
Practice address
2200 E Parrish Ave Ste 201
Owensboro, KY 42303-1449
Phone
(270) 926-3700
Fax
(270) 926-0368
NPI assigned
May 7, 2020
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 3014829 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave Ste 201
Owensboro, KY 42303-1449

Mailing address

PO Box 23229
Owensboro, KY 42304-3229

Other names 1

  • Kaitlin Marie Wells Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwells118895@direct.owensborohealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200904000399 KY Practitioner - Nurse Practitioner 3173940103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (270) 926-3700

2211 Mayfair Dr
Owensboro, KY 42301-4569

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014829KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Jul 1, 2022 Accepting new patients
The Women's Pavilion, PSC Aprn Group Past Accepting new patients
Owensboro Health Medical Group, Inc Family Past Accepting new patients
Orthopaedic Surgical Specialists,PSC Past Accepting new patients

Locations

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2200 E Parrish Ave
Ste 201
Owensboro, KY 42303
Phone (270) 688-1670

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14767/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1831711332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE STE 201",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-926-3700",
            "fax_number": "270-926-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KAITLIN",
        "middle_name": "WELLS",
        "credential": "DNP, APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwells118895@direct.owensborohealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 E Parrish Ave Ste 201",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423031449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "WELLS",
            "middle_name": "MARIE",
            "credential": "DNP, APRN-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.