MICHAEL HAWTHORNE NP
NPI 1275043077
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since October 05, 2017PECOS Enrolled
80 5TH AVE, NEW YORK, NY 10011(347) 707-7735 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 7, 2024, Dec 27, 2019, Jan 15, 2019 (3 updates tracked since 2019).

About Michael Hawthorne Np NPPES

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

MICHAEL HAWTHORNE NP (NPI 1275043077) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (404654) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275043077
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL HAWTHORNECredential: NP
Location Address80 5TH AVENew York, NY 10011-8002
Mailing Address664 E 220th StBronx, NY 10467-5318 · (914) 294-2762 · Fax (332) 273-7595
Sole ProprietorNo
Enumeration DateOctober 5, 2017
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1275043077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404654
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN168720 (GA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F308186 (NY)
80 5TH AVE, New York, NY 10011

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Hawthorne Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Michael Hawthorne reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
80 5TH AVE
New York, NY 10011
  • Reassigned Medicare billing, Connecticut and New York enrollments
  • 12 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Nurse Practitioner
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Impact Health PC
  • 129 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Social Worker (Clinical)
80 5TH AVE, SUITE 903A
NEW YORK, NY 10011
Social Worker (Clinical)
80 5TH AVE, SUITE 903 B #10
NEW YORK, NY 10011
Social Worker (Clinical)
80 5TH AVE, SUITE 903A
NEW YORK, NY 10011
Social Worker (Clinical)
80 5TH AVE, SUITE 1606
NEW YORK, NY 10011
Specialist
80 5TH AVE, ROOM 1601
NEW YORK, NY 10011
Psychologist (Counseling)
80 5TH AVE, SUITE 903B
NEW YORK, NY 10011
Psychologist (Clinical)
80 5TH AVE, SUITE 903 ROOM 12
NEW YORK, NY 10011
Chiropractor
80 5TH AVE, SUITE1204
NEW YORK, NY 10011

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 Michael Hawthorne's NPI number?

The NPI number for Michael Hawthorne is 1275043077. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Michael Hawthorne located?

Michael Hawthorne practices at 80 5th Ave, New York, NY 10011. The listed phone number is (347) 707-7735.

What is Michael Hawthorne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Hawthorne enrolled in Medicare?

Yes. Michael Hawthorne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hawthorne reassigns Medicare benefits to 5 organizations: Orenda Psychiatry PLLC (New York, NY), Essen Medical Associates, PC (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and Impact Health P.C. (Orange, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hawthorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hawthorne accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Michael Hawthorne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Hawthorne was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.