ELLEREE DEE HAWKINS (PA) – Surgical Physician Assistant, NPI 1285218230
Surgical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for ELLEREE DEE HAWKINS (PA)
800 PRUDENTIAL DR FL B11
JACKSONVILLE, FL 322078202
Phone: (904) 388-6518
Fax: (904) 384-1005
Type: Mailing
800 PRUDENTIAL DR STE 1100
JACKSONVILLE, FL 322078202
Phone: (904) 388-6518
Fax: (904) 384-1005
Type: Location
2222 S 16TH ST STE 305
LINCOLN, NE 685023762
Phone: (402) 488-3002
Fax: (402) 483-8787
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $2,695.
Total Amount is formed as General ($2,695) + Research ($0) + Ownership ($0) = $2,695.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Medtronic, Inc. ($1,686).
Total Amount
$2,695
General + Research + Ownership
Payments
14
Total payment records
General Amount
$2,695
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,686 |
| Penumbra, Inc. | $888 |
| Route 92 Medical, Inc. | $102 |
| MicroVention, Inc. | $19 |
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: 2023-07-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230720003916 | I | Physician Assistant | NE | TBD |
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.
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 32207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | NE | |
| Physician Assistant | NE | |
| N E U R O S U R G E R Y | CO | |
| N E U R O S U R G E R Y | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Physical Medicine And Rehabilitation | NE | |
| N E U R O S U R G E R Y | NE | |
| N E U R O S U R G E R Y | NE |
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