Jennifer Hayes, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

A136325 Issued in CA

Practice address

3562 Round Barn Circle
Suite 320
Santa Rosa, CA 95403

Phone

(707) 578-1900

Fax

(707) 578-1111

NPI assigned

Jun 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of California, Geffen School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.97 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.57

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Regents Univ of California UCSF

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124439807

  Single Specialty

  NPD (past)
• University of Minnesota Physicians

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1952546061
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1649599648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 ROUND BARN CIRCLE",
            "address_2": "SUITE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 ROUND BARN CIRCLE",
            "address_2": "SUITE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Sir Francis Drake Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kentfield",
            "state": "CA",
            "postal_code": "949041439",
            "country_code": "US",
            "telephone_number": "415-461-1036",
            "fax_number": "415-461-1043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3562 Round Barn Cir Ste 320",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954030182",
            "country_code": "US",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A136325",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A136325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany M Hawks
• Jenele Cheri Hawley
• Yuki Carolina Hayakawa Castorena
• Charys Hayden-Town, NP
• Barbara Anna Hayes, M.F.T.
• Mary Jean Hayes, PHD MFT
• Michele Mary Hayes, O.D.
• Alexis Honey Hayhurst-Loric
• Laine Haynes, LCSW
• Jeannine Marie Hays, MFT

• Procedural Dermatology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.