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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LORI DENELL HAWKINS NP
NPI 1760267736
Nurse Practitioner in O Fallon, IL

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment
3 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 641-5803 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 30, 2026, Apr 4, 2024, Aug 29, 2023 (3 updates tracked since 2023).

About Lori Denell Hawkins Np NPPES

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

LORI DENELL HAWKINS NP (NPI 1760267736) is an individual nurse practitioner in O Fallon, Illinois, licensed in Illinois (209024612) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760267736
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI DENELL HAWKINSCredential: NP
Location Address3 SAINT ELIZABETH BLVDO Fallon, IL 62269-1281
Mailing Address3 Saint Elizabeth BlvdO Fallon, IL 62269-1281 · (618) 641-5803 · Fax (618) 607-5137
Phone(618) 641-5803
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1760267736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in IL · 209024612✔ Licensed in MO · 2023038671
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3 SAINT ELIZABETH BLVD, O Fallon, IL 62269
Open in Google Maps ↗

Other Identifiers 1

Medicaid1760267736IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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

Lori Denell 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 ID4486007937
PECOS Enrollment IDI20240131003003
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 Reassignment

Medicare enrollment records show Lori Hawkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sjl Health Systems Inc
71 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996

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 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 12

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

DR. LOUIS JAY LEVINE MD
Internal Medicine (Gastroenterology)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
LAWRENCE J. BARNES PA-C
Physician Assistant (Medical)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
MEGAN N. LANTER
Physician Assistant
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 233-6044
DR. RUGHEED GHADBAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CHRISTOPHER CHARLES SUTTON D.O.
Internal Medicine (Pulmonary Disease)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
MS. CHARISSA FAITH HOLESKO ANP
Nurse Practitioner
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
DR. RAGHAV GOVINDARAJAN MD
Psychiatry & Neurology (Neuromuscular Medicine)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
REBECCA LYNN HARRIS
Nurse Practitioner (Family)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803

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 Lori Hawkins's NPI number?

The NPI number for Lori Hawkins is 1760267736. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Lori Hawkins located?

Lori Hawkins practices at 3 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 641-5803.

What is Lori Hawkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lori Hawkins enrolled in Medicare?

Yes. Lori 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 organization bills Medicare for Lori Hawkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Hawkins reassigns Medicare benefits to Sjl Health Systems Inc (Pana, IL). The 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 Lori Hawkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Hawkins accept?

Health plans from Ambetter Health list Lori 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 Lori Hawkins was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.