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NICHOLAS W HAWLEY
NPI 1992166821
Pediatrics in Milwaukee, WI

Active since March 20, 2016PECOS Enrolled
3003 W GOOD HOPE RD # BCM320, MILWAUKEE, WI 53209(414) 352-3100 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2021, Nov 18, 2020, Jul 16, 2019 and 1 more (4 updates tracked since 2016).

About Nicholas W Hawley NPPES

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

NICHOLAS W HAWLEY (NPI 1992166821) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (71430) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992166821
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNICHOLAS W HAWLEY
Location Address3003 W GOOD HOPE RD # BCM320Milwaukee, WI 53209-2042
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2233
Phone(414) 352-3100
Sole ProprietorNo
Enumeration DateMarch 20, 2016
Last NPPES UpdateDecember 2, 20214 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1992166821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 71430
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3003 W GOOD HOPE RD # BCM320, Milwaukee, WI 53209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas W Hawley 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicholas Hawley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Advanced Healthcare, Inc.
Same address
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Aurora Medical Group, Inc.
11 mi
Mental Health (Including Community Mental Health Center)
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1659599157 (877) 576-3544
Lakeshore Medical Clinic, LLC
13 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589

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 53209 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Nicholas Hawley's NPI number?

The NPI number for Nicholas Hawley is 1992166821. It was assigned to this individual provider in the NPPES registry on March 20, 2016.

Where is Nicholas Hawley located?

Nicholas Hawley practices at 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209. The listed phone number is (414) 352-3100.

What is Nicholas Hawley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicholas Hawley enrolled in Medicare?

Yes. Nicholas Hawley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Hawley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Hawley reassigns Medicare benefits to 3 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). 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 Nicholas Hawley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Hawley accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and UnitedHealthcare list Nicholas Hawley 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 Nicholas Hawley was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.