MRS. MARTHA D HAWKINS ARNP
NPI 1407824279
Nurse Practitioner - Pediatrics in Lexington, KY

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
1055 WELLINGTON WAY, SUITE 120, LEXINGTON, KY 40513(859) 219-2828(859) 219-2845 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Martha D Hawkins Arnp NPPES

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

MRS. MARTHA D HAWKINS ARNP (NPI 1407824279) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (3004019) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407824279
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. MARTHA D HAWKINSCredential: ARNP
Location Address1055 WELLINGTON WAY, SUITE 120Lexington, KY 40513-1259
Mailing Address1055 Wellington Way, Suite 275Lexington, KY 40513-1259 · (859) 219-2828 · Fax (859) 219-2845
Fax(859) 219-2845
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1407824279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in KY · 3004019
1055 WELLINGTON WAY, Lexington, KY 40513

Other Identifiers 5

Other000000321166KY · Anthen Bc Bs Hhc
Medicare ID-Type Unspecified912204KY · Paragon
Medicaid78009677KY
Medicare UPINQ11943KY
Other78009677KY · Passport Health Hhc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Martha D Hawkins Arnp 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 ID8123017324
PECOS Enrollment IDI20040512000067
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

2

Medicare enrollment records show Martha Hawkins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
29 MAIN ST
Crab Orchard, KY 40419
  • Reassigned Medicare billing, Kentucky enrollment
  • 25 clinicians in this Medicare group
Rural Health
703 EAST MAIN STREET, # 8
Lebanon, KY 40444
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 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 40513 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 7

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

Family Medicine
1055 WELLINGTON WAY, SUITE 215
LEXINGTON, KY 40513
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1055 WELLINGTON WAY, SUITE 110
LEXINGTON, KY 40513
Obstetrics & Gynecology
1055 WELLINGTON WAY, SUITE 125
LEXINGTON, KY 40513
Clinical Medical Laboratory
1055 WELLINGTON WAY, SUITE 170
LEXINGTON, KY 40513
Clinical Nurse Specialist (Psychiatric/Mental Health)
1055 WELLINGTON WAY, SUITE 110
LEXINGTON, KY 40513
Clinical Medical Laboratory
1055 WELLINGTON WAY, SUITE 170
LEXINGTON, KY 40513
Nurse Practitioner (Psychiatric/Mental Health)
1055 WELLINGTON WAY, SUITE 110
LEXINGTON, KY 40513

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 Martha Hawkins's NPI number?

The NPI number for Martha Hawkins is 1407824279. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Martha Hawkins located?

Martha Hawkins practices at 1055 Wellington Way Suite 120, Lexington, KY 40513. The listed phone number is (859) 219-2828.

What is Martha Hawkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Martha Hawkins enrolled in Medicare?

Yes. Martha 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.

Which organizations bill Medicare for Martha Hawkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Hawkins reassigns Medicare benefits to 2 organizations: Primary Care Of The Bluegrass, LLC (Crab Orchard, KY) and A1 Health Care Clinic (Lebanon, KY). 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 Martha Hawkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martha Hawkins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Martha Hawkins 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 Martha Hawkins was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.