Active NPI
Tricia Raye Hayden, APRN
- Family Nurse Practitioner
- Grand Ronde, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10000624
- Practice address
- 9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712 - Phone
- (503) 879-2060
- NPI assigned
- Sep 27, 2022
- Last updated
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F09221179 | OR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Confederated Tribes of the Grand Ronde Community of Oregon | Family | Current | Accepting new patients |
| Confederated Tribes of the Grand Ronde Community of Oregon | Current | Accepting new patients | |
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Current | 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
- https://api.platform.athenahealth.com/14369/brand/7/csg/1/fhir/r4
- 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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Grand Ronde, OR
- NPI 1174666358
Family
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
-
- Land Ambulance
- Grand Ronde, OR
- NPI 1215606132
-
dba Santiam Internal Medicine Clinic
- Rural Health Clinic/Center
- Stayton, OR
- NPI 1730426040
-
dba Santiam Health & Wellness Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stayton, OR
- NPI 1801787171
-
- Community Health Clinic/Center
- Grand Ronde, OR
- NPI 1104164359
-
dba Aumsville Medical Clinic
- Rural Health Clinic/Center
- Aumsville, OR
- NPI 1013302017
-
dba Santiam Medical Clinic
- Rural Health Clinic/Center
- Mill City, OR
- NPI 1396131389
-
dba Santiam Medical Associates
- Rural Health Clinic/Center
- Stayton, OR
- NPI 1477909570
-
dba Sublimity Medical Clinic
- Rural Health Clinic/Center
- Sublimity, OR
- NPI 1518354547
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
dba Willamette Valley Medical Center
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.