Active NPI
Karen S. Hayes, N.P.
- Family Nurse Practitioner
- Lake Ozark, MO
National Provider Identifier
1003812918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2013010843
- Practice address
- 1870 Bagnell Dam Blvd
Lake Ozark, MO 65049-8658 - Phone
- (573) 365-2318
- Fax
- (573) 365-3009
- NPI assigned
- Jun 24, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 44778 | KS | |
| Family Nurse Practitioner | 363LF0000X | 2013010843 | MO | Primary |
Addresses
Primary practice location
1870 Bagnell Dam Blvd
Lake Ozark, MO 65049-8658
Mailing address
PO Box 1500
Osage Beach, MO 65065-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500014824 | Other | RAIL ROAD MEDICARE | |
| 100383580A | Medicaid | KS | |
| 66720A035 | Other | TRICARE | |
| 160479 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Osage Beach, MO
- NPI 1003181637
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1003812918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1500",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650651500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 BAGNELL DAM BLVD",
"city": "LAKE OZARK",
"state": "MO",
"postal_code": "650498658",
"telephone_number": "573-365-2318",
"fax_number": "573-365-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KAREN",
"middle_name": "S.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "44778",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2013010843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "500014824",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100383580A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "66720A035",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "160479",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.