RAVEN HATHAWAY FNP-BC
NPI 1285519850
Nurse Practitioner - Family in Johnson City, NY

Q: What is Raven Hathaway's NPI number?

The NPI number for Raven Hathaway is 1285519850. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Q: What is Raven Hathaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Hathaway was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 11, 2025PECOS Enrolled

30 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-0088 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Raven Hathaway Fnp-bc NPPES

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

RAVEN HATHAWAY FNP-BC (NPI 1285519850) is an individual family provider in Johnson City, New York, licensed in New York (357629) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1285519850

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRAVEN HATHAWAYCredential: FNP-BC

Location Address30 HARRISON STJohnson City, NY 13790-2161

Mailing Address33 Lewis Rd Fl 2Binghamton, NY 13905-1055 · (607) 770-0025

Phone(607) 763-0088

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 11, 2025

NPPES CertifiedAugust 11, 2025

✔ NPI 1285519850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 357629

30 HARRISON ST, Johnson City, NY 13790

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Hathaway Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759872997

PECOS Enrollment IDI20251114002839

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 13790 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.

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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.

DR. MICHAIL VITELLAS MD

Internal Medicine (Cardiovascular Disease)

30 HARRISON ST, SUITE 250
JOHNSON CITY, NY 13790

Broome County (607) 770-8600

JAMES J VINCENS MD

Internal Medicine (Cardiovascular Disease)

30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790

Broome County (607) 770-8600

JEROME H ROSENSTEIN MD PLLC

Specialist

30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790

Broome County (607) 763-8205

J RICHARD CUNNINGHAM MD

Surgery

30 HARRISON ST, SUITE 455
JOHNSON CITY, NY 13790

Broome County (607) 763-8100

SERAZUL A KHAN MD

Internal Medicine (Hematology & Oncology)

30 HARRISON ST, SUITE 100
JOHNSON CITY, NY 13790

Broome County (607) 763-6850

MARK BRENNAN DO

Surgery (Vascular Surgery)

30 HARRISON ST, STE 455
JOHNSON CITY, NY 13790

Broome County (607) 763-8100

CARDIOLOGY ASSOCIATES PC

Internal Medicine (Cardiovascular Disease)

30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790

Broome County (607) 770-8600

WENDY RENEE ROBINSON NP

Nurse Practitioner

30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790

Broome County (607) 763-8205

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 Raven Hathaway's NPI number?

The NPI number for Raven Hathaway is 1285519850. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Raven Hathaway located?

Raven Hathaway practices at 30 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 763-0088.

What is Raven Hathaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Raven Hathaway enrolled in Medicare?

Yes. Raven Hathaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raven Hathaway was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.