TIMOTHY HAWLEY – Nurse Practitioner, NPI 1720458896

TIMOTHY HAWLEY is a healthcare provider. based in Euless, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP129133 (TX). The NPI Number for TIMOTHY HAWLEY is 1720458896

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY HAWLEY
NPI
1720458896
Phone
Not provided
Address
910 N MAIN ST
Enumeration Date
1 October 2015
Last Update Date
11 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9404320588
Graduation Year
2015 (11 years ago)
PAC ID
0749571958
Group Practice PAC ID
3971895665
Professional Enrollment ID
I20160620000204
Address ID
TX763016718WI901XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TIMOTHY HAWLEY

  • 910 N MAIN ST

    EULESS, TX 760393355

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 222 Open Payments records for all available years, with a total value of $3,892.

Total Amount is formed as General ($3,892) + Research ($0) + Ownership ($0) = $3,892.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($539).

Total Amount

$3,892

General + Research + Ownership

Payments

222

Total payment records

General Amount

$3,892

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2016-06-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160620000204INurse PractitionerTXTBD

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 76039)

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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: 3971895665View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family Practice, Hospice/Palliative CareTX

Reviews

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Frequently asked questions

What unique ID ties claims to TIMOTHY HAWLEY?
NPI 1720458896 is assigned to TIMOTHY HAWLEY under the national enumeration system.
Does this profile mean TIMOTHY HAWLEY is currently active?
Yes — TIMOTHY HAWLEY appears active in the national provider directory.
What kind of provider is TIMOTHY HAWLEY?
The page reflects Nurse Practitioner for TIMOTHY HAWLEY. Clinical services aligned with this taxonomy classification.
Does TIMOTHY HAWLEY practice in Texas?
You will see Euless, Texas on file for TIMOTHY HAWLEY alongside any extra practice locations.
Is TIMOTHY HAWLEY a real provider?
This page reflects official NPPES data for NPI 1720458896. Always confirm identity and privileges with the practice and licensing boards.

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