ALEXANDRA KAYE HAWKINS (PA-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124785662

ALEXANDRA KAYE HAWKINS (PA-C) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9714 (AZ). The NPI Number for ALEXANDRA KAYE HAWKINS (PA-C) is 1124785662

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA KAYE HAWKINS (PA-C)
NPI
1124785662
Phone
(801) 354-8225
Address
1055 N 500 W
Enumeration Date
18 November 2021
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
0345630059
Group Practice PAC ID
4688588643
Professional Enrollment ID
I20230709000068
Address ID
AZ850122808PH3033XAVEX401

Contacts

Secure Messaging
credentialing@reverehealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for ALEXANDRA KAYE HAWKINS (PA-C)

  • 1055 N 500 W

    Attn Credentialing

    Provo, UT 84604

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Location

  • 3033 N CENTRAL AVE STE 145

    PHOENIX, AZ 850122808

    Phone: (623) 583-3001

    Type: Mailing

  • 9610 N METRO PKWY W

    PHOENIX, AZ 850511402

    Phone: (480) 964-2273

    Fax: (602) 843-1560

    Type: Location

  • 138 E CROWN POINT DR

    SARATOGA SPRINGS, UT 840454034

    Phone: (469) 207-8748

    Type: Mailing

  • 1055 N 500 W # A

    Provo, UT 846043305

    Phone: (801) 812-5033

    Fax: (801) 812-5034

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: ABBVIE INC. ($121).

Total Amount

$149

General + Research + Ownership

Payments

8

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

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: 2023-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20211210001174IPhysician AssistantUTTBD
I20230709000068IPhysician AssistantAZTBD

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 84604)

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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: 4688588643View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantIL
Nurse PractitionerAZ
Family PracticeAZ
Family Practice, Geriatric MedicineAZ
Registered Dietitian Or Nutrition ProfessionalAZ
Internal MedicineAZ
Nurse PractitionerIL
-AZ
Physician AssistantNY

Reviews

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Frequently asked questions

Can I cross-check ALEXANDRA KAYE HAWKINS (PA-C) using NPI 1124785662?
NPI 1124785662 belongs to ALEXANDRA KAYE HAWKINS (PA-C); compare other details if you need extra assurance.
Would ALEXANDRA KAYE HAWKINS (PA-C) appear as active to a payer?
You can treat ALEXANDRA KAYE HAWKINS (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ALEXANDRA KAYE HAWKINS (PA-C)?
ALEXANDRA KAYE HAWKINS (PA-C)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ALEXANDRA KAYE HAWKINS (PA-C) associated with Provo?
Public fields place ALEXANDRA KAYE HAWKINS (PA-C) around Provo, Utah. Always confirm the exact site before visiting.
Can I trust this NPI listing for ALEXANDRA KAYE HAWKINS (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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