NANCY HAWKINS MD
NPI 1225084973
Emergency Medicine in Atlantic City, NJ

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
14.95/100
CMS Quality Rating
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 345-4000 Get Directions Write a Review

NPPES record last updated: November 28, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nancy Hawkins Md NPPES

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

NANCY HAWKINS MD (NPI 1225084973) is an individual emergency medicine provider in Atlantic City, New Jersey, licensed in New Jersey (25MA05394000) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1985).

NPPES Registry Identity

NPI1225084973
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNANCY HAWKINSCredential: MD
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address6896 W Snowville RdBrecksville, OH 44141-3214
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1985
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 28, 2009
NPI 1225084973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · 25MA05394000
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1925 PACIFIC AVE, Atlantic City, NJ 08401

Other Identifiers 8

Other60018871NJ · Horizon Health
Other30028086NJ · Keystone Mercy
Medicare UPINE19669NJ
Medicare PIN544155UKENJ
Other0117141000NJ · Amerihealth
Medicaid4606809NJ
Medicare PIN544155ZEDBNJ
Medicare PINP00308060NJ

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

Nancy Hawkins 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 ID244263275
PECOS Enrollment IDI20050916000296
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
219 services209 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services111 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
84 services83 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
82 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.
78 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

14.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost49.85

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Pathology (Anatomic Pathology & Clinical Pathology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Pathology (Anatomic Pathology & Clinical Pathology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE, DEPARTMENT OF EMERGENCY MEDICINE
ATLANTIC CITY, NJ 08401
Surgery
1925 PACIFIC AVE, ARMC
ATLANTIC CITY, NJ 08401
Nurse Practitioner
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Hawkins's NPI number?

The NPI number for Nancy Hawkins is 1225084973. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Nancy Hawkins located?

Nancy Hawkins practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-4000.

What is Nancy Hawkins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nancy Hawkins enrolled in Medicare?

Yes. Nancy Hawkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nancy Hawkins was last updated on November 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.