JOSEPH HARNETT HATHEWAY (FNP) – Family Nurse Practitioner, NPI 1386296242

JOSEPH HARNETT HATHEWAY (FNP) is a healthcare provider. based in Sebastopol, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95012031 (CA). The NPI Number for JOSEPH HARNETT HATHEWAY (FNP) is 1386296242

Main info

Male
7 Years Of Experience
Name
JOSEPH HARNETT HATHEWAY (FNP)
NPI
1386296242
Phone
(207) 475-7162
Address
568 LIVE OAK AVE
Enumeration Date
11 July 2019
Last Update Date
11 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075730270
Graduation Year
2019 (7 years ago)
PAC ID
6305257502
Group Practice PAC ID
0547688699
Professional Enrollment ID
I20201119000554
Address ID
ME046052722EL710XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for JOSEPH HARNETT HATHEWAY (FNP)

  • 568, Live Oak Avenue, Sebastopol, Sonoma County, California, 95472, United States

    SEBASTOPOL, CA 954723361

    Phone: (207) 475-7162

    Fax: (707) 824-9335

    Type: Mailing

  • Live Oak Avenue, Sebastopol, Sonoma County, California, 95472, United States

    SEBASTOPOL, CA 954723361

    Phone: (707) 823-3166

    Fax: (707) 869-8170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201119000554INurse PractitionerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95472)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547688699View full group profile
NameSpecialtyState
Nurse PractitionerME
Certified Nurse Midwife (Cnm)ME
Certified Nurse Midwife (Cnm)ME

Reviews

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Frequently asked questions

What is the registry number for JOSEPH HARNETT HATHEWAY (FNP)?
The registry entry for JOSEPH HARNETT HATHEWAY (FNP) shows NPI 1386296242.
Quick check: is JOSEPH HARNETT HATHEWAY (FNP) active?
Public NPPES data shows JOSEPH HARNETT HATHEWAY (FNP) with an active NPI status right now.
Which specialty label fits JOSEPH HARNETT HATHEWAY (FNP)?
NPPES ties JOSEPH HARNETT HATHEWAY (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOSEPH HARNETT HATHEWAY (FNP)?
JOSEPH HARNETT HATHEWAY (FNP) is associated with Sebastopol, California in the same public data insurers reference.
Who maintains JOSEPH HARNETT HATHEWAY (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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