MISS JENCI LYN HAWTHORNE MEDICAL STUDENT, MD
NPI 1003479593
Obstetrics & Gynecology in Louisville, KY

Q: What is Jenci Hawthorne's NPI number?

The NPI number for Jenci Hawthorne is 1003479593. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Q: What is Jenci Hawthorne's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenci Hawthorne was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment

950 BRECKENRIDGE LN STE 200, LOUISVILLE, KY 40207(502) 893-6777(502) 893-5535 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, May 6, 2021, Apr 19, 2019 (3 updates tracked since 2019).

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About Miss Jenci Lyn Hawthorne Medical Student, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JENCI LYN HAWTHORNE MEDICAL STUDENT, MD (NPI 1003479593) is an individual obstetrics & gynecology provider in Louisville, Kentucky, licensed in Kentucky (60576) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of University Of Louisville School Of Medicine (2021).

NPPES Registry Identity

NPI1003479593

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMISS JENCI LYN HAWTHORNECredential: MEDICAL STUDENT, MD

Location Address950 BRECKENRIDGE LN STE 200Louisville, KY 40207-5929

Mailing Address1901 Campus PlLouisville, KY 40299-2308 · (502) 253-4924 · Fax (502) 489-5750

Phone(502) 893-6777

Fax(502) 893-5535

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2021

Enumeration DateApril 19, 2019

Last NPPES UpdateJune 19, 20253 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1003479593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in KY · 60576

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

950 BRECKENRIDGE LN STE 200, Louisville, KY 40207

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Secondary Practice Location 1

Location 1500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Other Identifiers 1

Medicaid390200000XKY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Jenci Lyn Hawthorne Medical Student, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274046230

PECOS Enrollment IDI20250702000840

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA CHILDERS KELLER MD

Obstetrics & Gynecology