Active NPI
Beth Ann Hayden, FNP
- Psychiatric/Mental Health Nurse Practitioner
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71003954A
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201067750 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HAYDEN@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KS, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71003954A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanton County Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Acadia Hospital Corp | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Stanton County Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Associates in Counseling and Psychotherapy | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Associates in Counseling and Psychtherapy | Past | 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
- hayden@mybeacon.cernerdirect.com
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- 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.
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Clinical Psychologist
- New Albany, IN
- NPI 1801948062
-
- Psychiatric Hospital
- Bangor, ME
- NPI 1215940523
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba Northern Light Maine Coast Hospital
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
- Critical Access Hospital
- Johnson, KS
- NPI 1003964677
-
- Federally Qualified Health Center (FQHC)
- La Porte, IN
- NPI 1538728399
-
dba HealthLinc - Newton
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.