Patrick Dale Hawkins, DNP,ANP, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704200480 Issued in MI

Practice address

2486 Nerredia St
Flint, MI 48532-4807

Phone

(810) 230-9901

Fax

(810) 230-9916

NPI assigned

Jul 6, 2005

Last updated

Mar 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Patrick Dale Hawkins Other name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesee Health SystemGroup PAC ID 6002051091, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.hawkins.p1@direct.gchc.nextgenshare.com

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.

• Genesee Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
  • NPI 1043554348
  Medicare reassignment Care Compare group NPD
• Kidney Disease & Hypertension Consultants PC

  • Nephrology Physician
  • Flint, MI
  • NPI 1548329683
  Medicare reassignment NPD
• Genesee Health System

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1851630115
  NPD
• Genesee Health System

  dba Genesee Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1962140137

  Nurse Practitioner

  NPD
• Genesee Health System

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
  • NPI 1982018610
  NPD (past)
• Michigan Kidney Consultants, P.C.

  • Nephrology Physician
  • Sterling Heights, MI
  • NPI 1831130723
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1902803877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 NERREDIA STREET, SUITE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324807",
            "telephone_number": "810-230-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 NERREDIA ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324807",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "PATRICK",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DNP,ANP,  NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704200480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104626142",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "HAWKINS",
            "middle_name": "DALE",
            "prefix": "DR.",
            "credential": "DNP, ANP.NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Soren N Hauter
• Haven Medical Associates PA
• Crisann Sue Havens, BA
• Monther Fahed Hawa
• Jacob Hawkins
• Jordan Hayden, LPC
• Marla Janae Hayden, O.D.
• Briana Hayes
• Lauren Hayes, RN
• Latisha Marie Haymer, LPN

• Adult Health Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.