Elizabeth Anne Hayes, APN
Individual provider Active NPI Family Nurse Practitioner · Morton, IL
NPI 1134484041 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1134484041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 041.325430 (IL)
- Practice address
- 370 E Courtland St
Morton, IL 61550-9054 - Phone
- (309) 291-0899
- Fax
- (309) 291-0927
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120920000094 | IL | Practitioner - Nurse Practitioner | 4880842657 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.325430 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Family | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| CB Laboratory LLC | Current | Accepting new patients | |
| A Balanced Life Medical Services LLC | Past | Accepting new patients | |
| Comprehensive Emergency Solutions SC | Past | Accepting new patients |
Locations
370 E Courtland St
Morton, IL 61550
Phone (309) 291-0899
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
Interoperability endpoints
- hayes-elizabeth@a75f887d.micromddirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 041.325430 | IL | Yes |
Addresses
Primary practice location
370 E Courtland St
Morton, IL 61550-9054
Mailing address
370 E Courtland St
Morton, IL 61550-9054
Phone (309) 291-0899
Other names
- Elizabeth Anne Sheen
Other providers in Morton, IL
- Andrew Haddock
- Ronald Hake
- Hope Elizabeth Hamm
- Karen Marie Hannah
- Lorrie R. Harmon
- Health Solutions Integrated Medi Care, PLLC
- Health Solutions of Morton, LLC
- Healthy Spines Healthy Minds
- Heartland Chiropractic Clinic of Morton
- Sarah Elaine Heinz
All providers in Morton, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.