Individual provider Active NPI

Kelly J Hayward, FNP-BC

  • Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1275186041
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN276252 Issued in MA
Practice address
125 Liberty St Ste 204
Springfield, MA 01103-1109
Phone
(413) 271-7136
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN276252 MA
Nurse Practitioner 363L00000X RN276252 MA Primary

Addresses

Primary practice location

125 Liberty St Ste 204
Springfield, MA 01103-1109

Mailing address

125 Liberty St Ste 204
Springfield, MA 01103-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200501002629 MA Practitioner - Nurse Practitioner 7810328028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603
Phone (413) 535-4933

140 Southampton Rd
Westfield, MA 01085-1370
Phone (413) 533-2452

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN276252MAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc Current Accepting new patients
Western Mass Physician Associates Inc CurrentSince Sep 21, 2023 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Sep 21, 2023 Accepting new patients

Locations

1962 Memorial Dr
Chicopee, MA 01020
Phone (413) 534-2759

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

10 Hospital Dr
Holyoke, MA 01040
Phone (413) 534-1124

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

10 Hospital Dr
#203
Holyoke, MA 01040
Phone (413) 536-5814

10 Hospital Dr
Ste 205
Holyoke, MA 01040
Phone (413) 535-4933

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

140 Southampton Rd
Westfield, MA 01085
Phone (413) 533-2452

Interoperability endpoints

  • Direct secure messaging: kelly.hayward@direct.hmcs.masshiway.net

Organizations & group practices 4

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 3

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1275186041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "413-271-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "RN276252",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN276252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.