DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) – Primary Care Nurse Practitioner, NPI 1447666086

DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) is a healthcare provider. based in Boca raton, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, MBA, APRN. They hold a License No. APRN3361362 (FL). The NPI Number for DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) is 1447666086

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN)
NPI
1447666086
Phone
(561) 939-0200
Address
1601 CLINT MOORE RD
Enumeration Date
3 July 2014
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5619390200
Graduation Year
2014 (12 years ago)
PAC ID
7517187297
Group Practice PAC ID
5890883516
Professional Enrollment ID
I20140930002816
Address ID
FL334875712BO1601XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN)

  • 1601 CLINT MOORE RD

    SUITE 100

    BOCA RATON, FL 334872768

    Phone: (561) 939-0200

    Fax: (561) 939-0271

    Type: Mailing

  • 15280 NW 79TH CT STE 200

    MIAMI LAKES, FL 330165873

    Phone: (305) 558-3724

    Type: Mailing

  • 3126 N FEDERAL HWY

    LIGHTHOUSE POINT, FL 330646738

    Phone: (954) 785-0900

    Fax: (954) 786-3497

    Type: Location

  • 3233 NE 34TH ST APT 1006

    FORT LAUDERDALE, FL 333086946

    Phone: (954) 383-6389

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,459.

Total Amount is formed as General ($1,459) + Research ($0) + Ownership ($0) = $1,459.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($324).

Total Amount

$1,459

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2014-09-30

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
I20140930002816INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes575460$0
99213Established patient office or other outpatient visit, 20-29 minutes380305$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
J2930Injection, methylprednisolone sodium succinate, up to 125 mg1917$0
99212Established patient office or other outpatient visit, 10-19 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 33487)

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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: 5890883516View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)FL
Pulmonary Disease, Critical Care (Intensivists)FL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineFL
Pulmonary Disease, Critical Care (Intensivists)FL
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMO
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists)MI
Internal Medicine, Pulmonary DiseaseFL
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists)FL

Reviews

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Frequently asked questions

How is DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) with NPI 1447666086.
Can I rely on DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) being an active provider?
As of the registry snapshot, DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) is marked active.
What taxonomy line describes DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN)?
For research purposes, treat DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) as Primary Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) based?
DR. KEVIN PATRICK HANAWAY (DNP, MBA, APRN) is tied to Boca Raton, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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