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JOHN WILLIAM HATHAWAY JR. FNP
NPI 1497641732
Nurse Practitioner - Family in Lake Elsinore, CA

Active since June 13, 2025PECOS Enrolled
31571 CANYON ESTATES DR STE 228, LAKE ELSINORE, CA 92532(951) 471-0200 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 11, 2026, Jan 28, 2026, Jun 13, 2025 (3 updates tracked since 2025).

About John William Hathaway Jr. Fnp NPPES

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

JOHN WILLIAM HATHAWAY JR. FNP (NPI 1497641732) is an individual family provider in Lake Elsinore, California, licensed in California (95035568) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1497641732
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN WILLIAM HATHAWAY JR.Credential: FNP
Location Address31571 CANYON ESTATES DR STE 228Lake Elsinore, CA 92532-0425
Mailing Address138 Bracebridge RdRiverside, CA 92506-6114 · (951) 454-7086
Phone(951) 471-0200
Sole ProprietorNo
Enumeration DateJune 13, 2025
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1497641732 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 CA · 95035568
31571 CANYON ESTATES DR STE 228, Lake Elsinore, CA 92532
Open in Google Maps ↗

Secondary Practice Location 1

Location 14646 Brockton Ave Ste 202-4Riverside, CA 92506-0172 · Phone (951) 471-0200 · Fax (951) 240-3715

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John William Hathaway Jr. Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92532 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

HAMZAA GHANI PA
Physician Assistant (Medical)
31571 CANYON ESTATES DR STE 228
LAKE ELSINORE, CA 92532
Riverside County (951) 902-3451

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 John Hathaway's NPI number?

The NPI number for John Hathaway is 1497641732. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is John Hathaway located?

John Hathaway practices at 31571 Canyon Estates Dr Ste 228, Lake Elsinore, CA 92532. The listed phone number is (951) 471-0200.

What is John Hathaway's specialty?

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

Is John Hathaway enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Hathaway was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.