AMY ELIZABETH HAWK (APRN) – Family Nurse Practitioner, NPI 1104345404

AMY ELIZABETH HAWK (APRN) is a healthcare provider. based in Gillette, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 23355.1658 (WY). The NPI Number for AMY ELIZABETH HAWK (APRN) is 1104345404

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMY ELIZABETH HAWK (APRN)
NPI
1104345404
Phone
(307) 688-3535
Address
501 S BURMA AVE
Enumeration Date
18 September 2017
Last Update Date
18 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076881000
Graduation Year
2017 (9 years ago)
PAC ID
1153681978
Group Practice PAC ID
2860392529
Professional Enrollment ID
I20180215001813
Address ID
WY827163426GI501XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

596 NURSE PRACTITIONER in WY

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Provider Addresses for AMY ELIZABETH HAWK (APRN)

  • Campbell County Health, 501, South Burma Avenue, Gillette, Campbell County, Wyoming, 82716, United States

    GILLETTE, WY 827163426

    Phone: (307) 688-3535

    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 5 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: ABBVIE INC. ($51).

Total Amount

$103

General + Research + Ownership

Payments

5

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2018-02-15

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
I20180215001813INurse PractitionerWYTBD

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 minutes482331$0
99213Established patient office or other outpatient visit, 20-29 minutes135115$0
94618Test for exercise-induced lung stress1918$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 82716)

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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: 2860392529View full group profile
NameSpecialtyState
Radiation OncologyIL
-WY
Hospitalist, Family PracticeLA
Internal MedicineIL
Emergency MedicineND
-WY
-WY
Clinical Social WorkerWY
Orthopedic SurgeryWY
Certified Registered Nurse Anesthetist (Crna)WY

Reviews

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Frequently asked questions

What unique ID ties claims to AMY ELIZABETH HAWK (APRN)?
NPI 1104345404 is assigned to AMY ELIZABETH HAWK (APRN) under the national enumeration system.
Is AMY ELIZABETH HAWK (APRN)'s NPI currently valid?
The extract we use shows AMY ELIZABETH HAWK (APRN) as active.
What does AMY ELIZABETH HAWK (APRN) treat or focus on?
Patients typically see AMY ELIZABETH HAWK (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is AMY ELIZABETH HAWK (APRN)'s primary listing?
We display Gillette, Wyoming because that is what the record indicates for AMY ELIZABETH HAWK (APRN).
What if Gillette, Wyoming seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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