MRS. LISA HAWTHORNE A.N.P.
NPI 1275509416
Nurse Practitioner - Adult Health in Camillus, NY

Q: What is Lisa Hawthorne's NPI number?

The NPI number for Lisa Hawthorne is 1275509416. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Lisa Hawthorne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Hawthorne was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 February 27, 2006PECOS Enrolled

95.39/100

CMS Quality Rating

260 TOWNSHIP BLVD, STE 20, CAMILLUS, NY 13031(315) 708-0091(315) 708-0194 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2016, Mar 2, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Lisa Hawthorne A.n.p. NPPES

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

MRS. LISA HAWTHORNE A.N.P. (NPI 1275509416) is an individual adult health provider in Camillus, New York, licensed in New York (F302679-1) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275509416

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. LISA HAWTHORNECredential: A.N.P.

Location Address260 TOWNSHIP BLVD, STE 20Camillus, NY 13031-1674

Mailing Address260 Township Blvd, Ste 20Camillus, NY 13031-1674 · (315) 708-0190 · Fax (315) 488-3284

Phone(315) 708-0091

Fax(315) 708-0194

Sole ProprietorNo

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJune 17, 20162 updates tracked since enumeration

✔ NPI 1275509416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F302679-1

260 TOWNSHIP BLVD, Camillus, NY 13031

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Other Identifiers 3

Medicaid02410204NY

Medicare UPINDD3274NY

Medicare PINJ400089774NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Hawthorne A.n.p. 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

Medicare enrollment records show Lisa Hawthorne reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Gastroenterologists Of Central New York, PC

Same address

Gastroenterology

260 TOWNSHIP BLVD, STE 20
Camillus, NY 13031

Reassigned Medicare billing, New York enrollment
18 clinicians in this Medicare group

NPI 1013938174 (315) 708-0190

University Surgical Associates, LLP

6.8 mi

Surgery

750 E ADAMS ST, STE. 8140
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
115 clinicians in this Medicare group

NPI 1376590117 (315) 464-1800

Suny Health Science Center At Syracuse

6.8 mi

General Acute Care Hospital

750 EAST ADAMS STREET
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
271 clinicians in this Medicare group

NPI 1184974529 (315) 464-6530

Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In

6.9 mi

Internal Medicine

750 E ADAMS ST
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
434 clinicians in this Medicare group

NPI 1063468239 (315) 464-4505

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

Areas of Expertise CMS Part B claims 3

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 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.

237 services178 patients

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.

58 services48 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13031 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

95.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.04

Promoting Interoperability

100

Improvement Activities

Cost

68.27

Other Providers at the Same Location NPPES 10

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

ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC

Internal Medicine (Gastroenterology)