Individual provider Active NPI

Stacey Jo Hayward, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Uniontown, PA
National Provider Identifier
1508552787
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027395 Issued in PA
Practice address
250 E Fayette St
Uniontown, PA 15401-3834
Phone
(724) 437-0729
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027395 PA Primary

Addresses

Primary practice location

250 E Fayette St
Uniontown, PA 15401-3834

Mailing address

1112 Sycamore St
Connellsville, PA 15425-4727
Phone (724) 437-0729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230806000066 PA Practitioner - Nurse Practitioner 3173984259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chestnut Ridge Counseling Services IncGroup PAC ID 1254226376, 29 clinicians

Practice addresses (Care Compare)

100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone (724) 437-0729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Ridge Counseling Services Inc CurrentSince Jun 1, 2023 Accepting new patients
Highlands Hospital and Health Center Psychiatric/Mental Health Current Accepting new patients
Highlands Hospital and Health Center CurrentSince Oct 25, 2025 Accepting new patients

Locations

1051 Morrell Ave
Connellsville, PA 15425
Phone (724) 427-0729

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

100 New Salem Rd
Ste 116
Uniontown, PA 15401

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1508552787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SYCAMORE ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254727",
            "telephone_number": "724-437-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E FAYETTE ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013834",
            "telephone_number": "724-437-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "STACEY",
        "middle_name": "JO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.