Individual provider Active NPI

Kristen Hayward, CNM

  • Advanced Practice Midwife
  • Ellsworth, ME
National Provider Identifier
1356886428
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM162007 Issued in ME
Practice address
102 Main St Ste a
Ellsworth, ME 04605-1919
Phone
(207) 573-0270
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM162007 ME Primary

Addresses

Primary practice location

102 Main St Ste a
Ellsworth, ME 04605-1919

Mailing address

27 Ginnie May Way
Ellsworth, ME 04605-2612
Phone (207) 598-8798

Other practice location 1

65 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3940

Other identifiers 1

IdentifierTypeStateIssuer
METPID009692MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607000856 ME Practitioner - Certified Nurse Midwife (CNM) 9436427820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Anchored Women'S Health, LLCGroup PAC ID 0547688699, 5 clinicians

Practice addresses (Care Compare)

710 Bucksport Rd
Ellsworth, ME 04605-2722
Phone (207) 573-0270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNM162007MEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Women'S Health, LLC CurrentSince Jun 2, 2020 Accepting new patients

Locations

102 Main St
#A
Ellsworth, ME 04605
Phone (207) 573-0270

710 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 573-0270

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25550/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristen.hayward.1@25550.direct.athenahealth.com

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1356886428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GINNIE MAY WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052612",
            "telephone_number": "207-598-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST STE A",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051919",
            "telephone_number": "207-573-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Water St",
            "address_purpose": "LOCATION",
            "city": "Blue Hill",
            "state": "ME",
            "postal_code": "046145231",
            "country_code": "US",
            "telephone_number": "207-374-3940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "KRISTEN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "CNM162007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "METPID009692",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.