Individual provider Active NPI

Susan Hayes, DNP, FNP

  • Family Nurse Practitioner
  • Fort Lupton, CO
National Provider Identifier
1063964096
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992689-NP Issued in CO
Practice address
1450 Dexter St
Fort Lupton, CO 80621-1503
Phone
(303) 857-2087
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0992689-NP CO Primary

Addresses

Primary practice location

1450 Dexter St
Fort Lupton, CO 80621-1503

Mailing address

1450 Dexter St
Fort Lupton, CO 80621-1503
Phone (303) 857-2087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161118000235 CO Practitioner - Nurse Practitioner 4183903958 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0992689-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2019 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 1, 2018 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 1, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Platte Valley Medical Group LLC Past Accepting new patients

Locations

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

8350 Wcr 13
Unit 160
Firestone, CO 80504
Phone (303) 689-5160

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Medical Group Denver LLC 571 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1063964096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 DEXTER ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211503",
            "telephone_number": "303-857-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DEXTER ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211503",
            "telephone_number": "303-857-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SUSAN",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992689-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lupton, CO

Sources for this page

Verify at the official NPI Registry.