Individual provider Active NPI

Beth Ann Hayden, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1003172719
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71003954A Issued in IN
Practice address
707 N Michigan St
Ste 400
South Bend, IN 46601-1067
Phone
(574) 647-8470
Fax
(574) 647-8475
NPI assigned
Apr 6, 2012
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003954A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71003954A IN Primary

Addresses

Primary practice location

707 N Michigan St
Ste 400
South Bend, IN 46601-1067

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610

Other practice location 1

900 I St
LA Porte, IN 46350-5533
Phone (219) 324-1700

Other practice location 2

1815 E Ireland Rd
South Bend, IN 46614-2845
Phone (574) 647-1700

Other practice location 3

1001 Sturdy Rd
Valparaiso, IN 46383-4126
Phone (219) 462-7504

Other practice location 4

5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone (574) 256-9032

Other practice location 5

621 Memorial Dr
South Bend, IN 46601-1063
Phone (574) 400-4550

Other identifiers 1

IdentifierTypeStateIssuer
201067750MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HAYDEN@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KS, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120606000535 IN Practitioner - Nurse Practitioner 0547424327 Reassigns benefits to 2 organizations
I20210930000406 KS Practitioner - Nurse Practitioner 0547424327 Reassigns benefits to 1 organization
I20220321001098 ME Practitioner - Nurse Practitioner 0547424327 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthlinc IncGroup PAC ID 7618929373, 83 clinicians

Practice addresses (Care Compare)

1001 Sturdy Rd
Valparaiso, IN 46383-4126
Phone 21946271732226

400 Teegarden St
La Porte, IN 46350-3175
Phone (219) 326-0043

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003954AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stanton County Hospital Current Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2023 Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2023 Accepting new patients
Acadia Hospital Corp CurrentSince Mar 6, 2022 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2023 Accepting new patients
Healthlinc, Inc CurrentSince Dec 15, 2025 Accepting new patients
Healthlinc, Inc CurrentSince Dec 15, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jan 20, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Stanton County Hospital CurrentSince Sep 1, 2021 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jan 20, 2023 Accepting new patients
Associates in Counseling and Psychotherapy CurrentSince Jun 1, 2021 Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2023 Accepting new patients
Associates in Counseling and Psychtherapy PastSince Jun 1, 2021 Accepting new patients
Family Medicine Associates of Waterville PA Past Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

400 Teegarden St
Laporte, IN 46350
Phone (219) 326-0043

2627 Charlestown Rd
New Albany, IN 47150
Phone (812) 944-1550

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: hayden@mybeacon.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/stanton-86bf40ec

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1003172719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171924",
            "telephone_number": "574-647-1610",
            "fax_number": "574-237-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST",
            "address_2": "STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011067",
            "telephone_number": "574-647-8470",
            "fax_number": "574-647-8475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 I St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505533",
            "country_code": "US",
            "telephone_number": "219-324-1700",
            "fax_number": "219-324-1602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 E Ireland Rd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466142845",
            "country_code": "US",
            "telephone_number": "574-647-1700",
            "fax_number": "574-647-7572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Sturdy Rd",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463834126",
            "country_code": "US",
            "telephone_number": "219-462-7504",
            "fax_number": "219-462-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5314 Lincolnway E",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465444249",
            "country_code": "US",
            "telephone_number": "574-256-9032",
            "fax_number": "574-256-9049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011063",
            "country_code": "US",
            "telephone_number": "574-400-4550",
            "fax_number": "574-400-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003954A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71003954A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201067750",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HAYDEN@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "707 N Michigan St",
            "address_2": "Ste 400",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466011067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.