Individual provider Active NPI

Kathleen Faye Hayes, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1356610612
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11505 Issued in OH
Practice address
3333 Burnet Ave
MLC 1013
Cincinnati, OH 45229-3026
Phone
(513) 636-4466
Fax
(513) 636-5846
NPI assigned
Dec 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11505 OH Primary
Neonatal Nurse Practitioner 363LN0000X 11505 OH

Addresses

Primary practice location

3333 Burnet Ave
MLC 1013
Cincinnati, OH 45229-3026

Mailing address

6011 Groveport Rd
MLC 1013
Groveport, OH 43125-1006
Phone (614) 343-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120131000281 OH Practitioner - Nurse Practitioner 8325205545 Reassigns benefits to 2 organizations
I20251216002347 ME Practitioner - Nurse Practitioner 8325205545 Reassigns benefits to 1 organization

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
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

45 Memorial Cir
Augusta, ME 04330-6400
Phone (800) 997-6196

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11505OHMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Sep 25, 2023 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

45 Memorial Cir
Augusta, ME 04330
Phone (855) 270-3624

50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871

Interoperability endpoints

  • Direct secure messaging: kathleen.kaper@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: kathleen.kaper.1@30520.direct.athenahealth.com

Organizations & group practices 2

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1356610612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 GROVEPORT RD",
            "address_2": "MLC 1013",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251006",
            "telephone_number": "614-343-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "MLC 1013",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4466",
            "fax_number": "513-636-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KATHLEEN",
        "middle_name": "FAYE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11505",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OH",
            "license": "11505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.