Individual provider Active NPI

Jessica Lea Hayes, ARNP

  • Family Nurse Practitioner
  • Deland, FL
National Provider Identifier
1639585169
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9175537 Issued in FL
Practice address
937 N Spring Garden Ave
Deland, FL 32720-2560
Phone
(386) 736-1948
Fax
(386) 736-2784
NPI assigned
Jul 3, 2014
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 APRN9175537 FL Primary
Gerontology Nurse Practitioner 363LG0600X ARNP9175537 FL

Addresses

Primary practice location

937 N Spring Garden Ave
Deland, FL 32720-2560

Mailing address

937 N Spring Garden Ave
Deland, FL 32720-2560
Phone (386) 736-1948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141015000591 FL Practitioner - Nurse Practitioner 0042431181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

937 N Spring Garden Rd
Deland, FL 32720-2560
Phone (386) 736-1948

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9175537FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HN Ucc LLC CurrentSince Dec 11, 2021 Accepting new patients
Neurohealth Center LLC CurrentSince Aug 11, 2014 Accepting new patients
Florida Neurology PA CurrentSince Aug 11, 2014 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jun 10, 2024 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jun 10, 2024 Accepting new patients
Saltzman, Tanis, Pittel, Levin and Jacobson, LLC PastSince Mar 27, 2022 Accepting new patients
West Volusia Pediatrics, PA PastSince Aug 1, 2021 Accepting new patients

Locations

3048 S Atlantic Ave
Daytona Beach Shores, FL 32118
Phone (386) 457-8758

937 N Spring Garden Ave
Deland, FL 32720
Phone (386) 736-1948

2090 Saxon Blvd
Deltona, FL 32725
Phone (386) 845-5452

755 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 333-1718

5440 S Williamson Blvd
Port Orange, FL 32128
Phone (386) 845-5451

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

2710 Dora Ave
Tavares, FL 32778
Phone (352) 508-5076

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/OOz5hkiC68x4B2tV8TWG2SVCrgoGQtPF/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGJDD

Organizations & group practices 7

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1639585169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-736-1948",
            "fax_number": "386-736-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-736-1948",
            "fax_number": "386-736-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JESSICA",
        "middle_name": "LEA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9175537",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9175537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.