Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth R Hawkins, APRN

Individual provider Nurse Practitioner · NPI 1215316831

Kenneth R Hawkins, APRN is a Nurse Practitioner in Jackson, Michigan. Qualified in 2015, 11 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1100 E Michigan Ave Ste 201
Jackson, MI 49201-1849
Phone: (517) 205-7605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Rose St, Lexington, KY 40536-1689 — (859) 257-1000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3009416 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 3009416 (KY)

Record details

NPI number1215316831
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson