Debra Susan Hayes, FNP
Individual provider Active NPI Family Medicine Physician · Centerpoint, IN
NPI 1477192151 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1477192151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28195033A (IN)
- Practice address
- 1399 S Saline 4TH St
Centerpoint, IN 47840-8217 - Phone
- (812) 605-4887
- NPI assigned
- Dec 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220111001227 | IN | Order and Referring Only - Family Practice |
7618369216 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010040A | IN | MD | Family Medicine Physician |
Interoperability endpoints
- suzie.hayes.1@33105.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 71010040A | IN | |
| Family Medicine Physician | 207Q00000X | 28195033A | IN | Yes |
Addresses
Primary practice location
1399 S Saline 4TH St
Centerpoint, IN 47840-8217
Mailing address
1399 S Saline 4TH St
Centerpoint, IN 47840-8217
Other providers in Centerpoint, IN
All providers in Centerpoint, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. 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.