Individual provider Active NPI

Andrea Hayes, APRN-CNP

  • Nurse Practitioner
  • Anadarko, OK
National Provider Identifier
1154076503
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144182 Issued in TX
Practice address
412 SE 11TH Street
Anadarko, OK 73005
Phone
(405) 247-9500
Fax
(405) 247-9505
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP144182 TX Primary

Addresses

Primary practice location

412 SE 11TH Street
Anadarko, OK 73005

Mailing address

412 SE 11TH Street
Anadarko, OK 73005
Phone (405) 247-9500

Other identifiers 1

IdentifierTypeStateIssuer
201150820AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrea.hayes@ocfca.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230228001404 OK Practitioner - Nurse Practitioner 7719350412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144182TXMDNurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1154076503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SE 11TH STREET",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "73005",
            "telephone_number": "405-247-9500",
            "fax_number": "405-247-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SE 11TH STREET",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "73005",
            "telephone_number": "405-247-9500",
            "fax_number": "405-247-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201150820A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.hayes@ocfca.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "412 SE 11th Street",
            "city": "ANADARKO",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anadarko, OK

Sources for this page

Verify at the official NPI Registry.