MS. RACHEL HAWES CRNP
NPI 1609455765
Nurse Practitioner - Gerontology in Birmingham, AL

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
81.33/100
CMS Quality Rating
3670 GRANDVIEW PKWY STE 200, BIRMINGHAM, AL 35243(205) 971-1000 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 27, 2022, Apr 6, 2021 (2 updates tracked since 2021).

About Ms. Rachel Hawes Crnp NPPES

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

MS. RACHEL HAWES CRNP (NPI 1609455765) is an individual gerontology provider in Birmingham, Alabama, licensed in Alabama (1-170387) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609455765
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. RACHEL HAWESCredential: CRNP
Location Address3670 GRANDVIEW PKWY STE 200Birmingham, AL 35243-3326
Mailing Address2327 Highview CtIrondale, AL 35210-1014 · (870) 897-3219
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2021
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1609455765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in AL · 1-170387
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-170387 (AL)
3670 GRANDVIEW PKWY STE 200, Birmingham, AL 35243

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Rachel Hawes Crnp 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 ID244609576
PECOS Enrollment IDI20221208002462
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.

Areas of Expertise CMS Part B claims 8

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.

Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg J1459
This is an intravenous procedure where 500 mg of liquid immune globulin (Privigen) is injected into your bloodstream. Immune globulin is a blood product that helps your body fight infections. It's used when your body's natural defenses aren't enough to combat disease.
810 services12 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.
247 services169 patients
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.
167 services124 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
60 services52 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
56 services49 patients
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366
This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
34 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

81.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.81
Promoting Interoperability91
Improvement Activities40
Cost54.79

Other Providers at the Same Location NPPES 2

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

Registered Nurse
3670 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner (Adult Health)
3670 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243

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 Rachel Hawes's NPI number?

The NPI number for Rachel Hawes is 1609455765. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Rachel Hawes located?

Rachel Hawes practices at 3670 Grandview Pkwy Ste 200, Birmingham, AL 35243. The listed phone number is (205) 971-1000.

What is Rachel Hawes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Rachel Hawes enrolled in Medicare?

Yes. Rachel Hawes 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.

What insurance does Rachel Hawes accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Rachel Hawes 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 Rachel Hawes was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.