MS. JILLISA D HAWK (ARNP) – Family Nurse Practitioner, NPI 1053567552
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. JILLISA D HAWK (ARNP)
Berea, Box Butte County, Nebraska, United States
BEREA, KY 404030484
Phone: (859) 986-9521
Fax: (859) 986-7369
Type: Mailing
Saint Joseph Berea, 305, Estill Street, Berea, Madison County, Kentucky, 40403, United States
BEREA, KY 404031742
Phone: (859) 986-9521
Fax: (859) 986-7369
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-03-30 • Largest payer in this snapshot: Smith+Nephew, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $14 |
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: 2008-10-22
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 |
|---|---|---|---|---|
| I20081022000756 | I | Nurse Practitioner | KY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 116 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 28 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 20 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 40403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | KY | |
| General Surgery | KY | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | KY | |
| Vascular Surgery | IN | |
| - | MN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | TN | |
| Emergency Medicine | KY |
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