Individual provider Active NPI

Tricia Raye Hayden, APRN

  • Family Nurse Practitioner
  • Grand Ronde, OR
National Provider Identifier
1649994286
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10000624 Issued in OR
Practice address
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone
(503) 879-2060
NPI assigned
Sep 27, 2022
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 10000624 OR Primary
Primary Care Nurse Practitioner 363LP2300X F09221179 OR

Addresses

Primary practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Mailing address

249 SW Howard Dr
McMinnville, OR 97128-9580
Phone (503) 729-7006

Other practice location 1

205 Main St
Aumsville, OR 97325-9018
Phone (503) 749-4734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230620000468 OR Practitioner - Nurse Practitioner 0446375943 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
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

1369 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-8470

1371 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-3785

1373 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-9522

9615 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09221179ORMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital Current Accepting new patients
Confederated Tribes of the Grand Ronde Community of Oregon Family CurrentSince Nov 28, 2023 Accepting new patients
Confederated Tribes of the Grand Ronde Community of Oregon CurrentSince Nov 28, 2023 Accepting new patients
Santiam Memorial Hospital CurrentSince May 3, 2023 Accepting new patients
Santiam Memorial Hospital CurrentSince May 3, 2023 Accepting new patients
Santiam Memorial Hospital Past Accepting new patients
Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health & Past Accepting new patients
Santiam Memorial Hospital Past Accepting new patients
Santiam Memorial Hospital Past Accepting new patients
Santiam Memorial Hospital Past Accepting new patients

Locations

9605 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002

9615 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14369/brand/7/csg/1/fhir/r4
  • Direct secure messaging: tricia.hayden.p1@direct.grandronde.nextgenshare.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1649994286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 SW HOWARD DR",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289580",
            "telephone_number": "503-729-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 GRAND RONDE RD",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973479712",
            "telephone_number": "503-879-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Main St",
            "address_purpose": "LOCATION",
            "city": "Aumsville",
            "state": "OR",
            "postal_code": "973259018",
            "country_code": "US",
            "telephone_number": "503-749-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "TRICIA",
        "middle_name": "RAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10000624",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "F09221179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ronde, OR

Sources for this page

Verify at the official NPI Registry.