Amber Hawk, APRN in South Jordan, UT - Medicare Nurse Practitioner

Amber Hawk, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in South Jordan, Utah. Her current practice location is 1654 W Reunion Ave, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 349-2480.

Amber Hawk is licensed to practice in Utah (license number 5977222-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679204176.

Contact Information

	Amber Hawk, APRN
	1654 W Reunion Ave, South Jordan, UT 84095-4676
	(801) 349-2480
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Hawk
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1654 W Reunion Ave, South Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679204176
Provider Enumeration Date: 06/23/2022
Last Update Date: 11/16/2025

Medicare PECOS Information:

PECOS PAC ID: 4183009707
Enrollment ID: I20220919001910

Medical Identifiers

Medical identifiers for Amber Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679204176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5977222-4405 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5977222-4405 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Hawk allows following entities to bill medicare on her behalf.

Entity Name	Utah Regional Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Hawk is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amber Hawk, APRN 5526 W 13400 S # 345, Herriman, UT 84096-6919 Ph: (801) 931-8073	Amber Hawk, APRN 1654 W Reunion Ave, South Jordan, UT 84095-4676 Ph: (801) 349-2480

Reviews and Comments

Nurse Practitioner Nurses in South Jordan, UT

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Tianna Jean Fuller, FNP, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9898 S Glasgow Dr, South Jordan, UT 84009 Phone: 208-409-5273
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Breeonah Elaine Sherriff, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10836 S Gresham Dr, South Jordan, UT 84009 Phone: 801-842-4451
Natosha L Tullos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5432 W Copper Needle Way, South Jordan, UT 84009 Phone: 801-898-1770
Vilate M Thur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3556 W 9800 S, #101, South Jordan, UT 84095 Phone: 801-567-9750 Fax: 801-567-9826

Amber Hawk, APRN - Medicare Nurse Practitioner in South Jordan, UT