CAROL D HAWKINS NP
NPI 1639186109
Nurse Practitioner - Family in Knoxville, TN

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1120 E WEISGARBER RD, SUITE 104, KNOXVILLE, TN 37909(865) 584-4747(865) 584-1363 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol D Hawkins Np NPPES

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

CAROL D HAWKINS NP (NPI 1639186109) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (6118) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1639186109
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL D HAWKINSCredential: NP
Location Address1120 E WEISGARBER RD, SUITE 104Knoxville, TN 37909-2685
Mailing Address1225 E Weisgarber Rd, Suite 200Knoxville, TN 37909-2604 · (865) 584-4747 · Fax (865) 584-1363
Fax(865) 584-1363
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 22, 2010
NPI 1639186109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 6118
Also ListedRegistered NurseTaxonomy 163W00000X · License 72193 (TN)
1120 E WEISGARBER RD, Knoxville, TN 37909

Other Identifiers 1

Medicare UPINS72377TN

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

Carol D Hawkins Np 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 ID7810945789
PECOS Enrollment IDI20050106000987
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 4

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 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.
138 services105 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
97 services69 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.
62 services57 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 98980
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health data remotely. This could include vital signs or other health information. The professional will manage your treatment for the first 20 minutes each month, adjusting as necessary based on the data received.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers42 claims83 services$1.64 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
7 suppliers15 claims15 services$15.71 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
2 suppliers11 claims13 services$1.47 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
10 suppliers137 claims140 services$15.87 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$49.35 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
2 suppliers13 claims13 services$907.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Internal Medicine
1120 E WEISGARBER RD, STE 104
KNOXVILLE, TN 37909
Allergy & Immunology
1120 E WEISGARBER RD, STE 102
KNOXVILLE, TN 37909
Family Medicine
1120 E WEISGARBER RD, SUITE 101
KNOXVILLE, TN 37909
Internal Medicine
1120 E WEISGARBER RD, SUITE 104
KNOXVILLE, TN 37909
Internal Medicine
1120 E WEISGARBER RD, SUITE 104
KNOXVILLE, TN 37909
Nurse Practitioner (Family)
1120 E WEISGARBER RD, SUITE 104
KNOXVILLE, TN 37909
Internal Medicine
1120 E WEISGARBER RD, SUITE 104
KNOXVILLE, TN 37909
Specialist/Technologist (Athletic Trainer)
1120 E WEISGARBER RD, SUITE 101
KNOXVILLE, TN 37909

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 Carol Hawkins's NPI number?

The NPI number for Carol Hawkins is 1639186109. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Carol Hawkins located?

Carol Hawkins practices at 1120 E Weisgarber Rd Suite 104, Knoxville, TN 37909. The listed phone number is (865) 584-4747.

What is Carol Hawkins's specialty?

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

Is Carol Hawkins enrolled in Medicare?

Yes. Carol 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.

What insurance does Carol Hawkins accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Carol 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.

Is Carol Hawkins affiliated with any hospitals?

According to CMS data, Carol Hawkins is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Carol Hawkins was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.