JESSICA HATHAWAY – Family Nurse Practitioner, NPI 1366114746

JESSICA HATHAWAY is a healthcare provider. based in Rochester, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704336511 (MI). The NPI Number for JESSICA HATHAWAY is 1366114746

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA HATHAWAY
NPI
1366114746
Phone
(352) 586-1050
Address
1101 W University Dr
Enumeration Date
4 October 2021
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
2486500096
Graduation Year
2021 (5 years ago)
PAC ID
0345616140
Group Practice PAC ID
4385614221
Professional Enrollment ID
I20221019002361
Address ID
MI483091481RO2450XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JESSICA HATHAWAY

  • 1101 W University Dr

    Rochester, MI 483071863

    Phone: (352) 586-1050

    Type: Location

  • 740 SPARTAN DR

    ROCHESTER HILLS, MI 483092527

    Phone: (352) 586-1050

    Type: Mailing

  • 1101 W UNIVERSITY DR

    ROCHESTER, MI 483071863

    Phone: (352) 586-1050

    Type: Location

  • 2450 WALTON BLVD

    ROCHESTER HILLS, MI 483091481

    Phone: (248) 650-0096

    Fax: (248) 650-9831

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 114 Open Payments records for all available years, with a total value of $5,215.

Total Amount is formed as General ($5,215) + Research ($0) + Ownership ($0) = $5,215.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Axonics, Inc. ($2,009).

Total Amount

$5,215

General + Research + Ownership

Payments

114

Total payment records

General Amount

$5,215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2022-10-19

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
I20221019002361INurse PractitionerMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes226162$0
81003Automated urinalysis test189153$0
64566Insertion of lower leg neurostimulator electrode11632$0
51798Ultrasound measurement of bladder capacity after voiding7771$0
99214Established patient office or other outpatient visit, 30-39 minutes5552$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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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: 4385614221View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JESSICA HATHAWAY for billing?
Administrative and clinical systems typically use NPI 1366114746 for JESSICA HATHAWAY.
Should I treat JESSICA HATHAWAY as an active provider?
Patients and plans typically see JESSICA HATHAWAY as active in the national extract.
How should patients interpret JESSICA HATHAWAY's specialty?
The extract shows Family Nurse Practitioner for JESSICA HATHAWAY. Clinical services aligned with this taxonomy classification.
Can patients visit JESSICA HATHAWAY in Rochester, Michigan?
For routing, start with Rochester, Michigan for JESSICA HATHAWAY, then verify phone and hours locally.
Who maintains JESSICA HATHAWAY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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