Individual provider Active NPI

Helen Bernice Hayes, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Indian Trail, NC
National Provider Identifier
1679580278
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201021 Issued in NC
Practice address
115 Unionville Indian Trail Rd W
Suite a-1
Indian Trail, NC 28079-5583
Phone
(704) 234-2594
Fax
(855) 313-5068
NPI assigned
Aug 3, 2006
Last updated
Oct 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201021 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201021 NC Primary

Addresses

Primary practice location

115 Unionville Indian Trail Rd W
Suite a-1
Indian Trail, NC 28079-5583

Mailing address

PO Box 79254
Charlotte, NC 28271-7061
Phone (704) 234-2594

Other identifiers 1

IdentifierTypeStateIssuer
7005792MedicaidNC

Other names 1

  • Helen Bernice Boyd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050425001216 NC Practitioner - Nurse Practitioner 7618916149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anuvia Prevention and Recovery Center IncGroup PAC ID 6507159084, 3 clinicians

Practice addresses (Care Compare)

100 Billingsley Rd
Charlotte, NC 28211-1002
Phone (704) 376-7447

1110 Sam Newell Rd
Suite A1
Matthews, NC 28105-5163
Phone (980) 262-2473

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anuvia Prevention & Recovery, Center, Inc. CurrentSince Mar 10, 2018 Accepting new patients
S.T.E.P's Developmental Academy, Inc. CurrentSince Feb 14, 2012 Accepting new patients
Providence Psychiatric & Behavioral Health Services, Inc Psychiatric/Mental Health CurrentSince Aug 25, 2015 Accepting new patients
Anuvia Prevention and Recovery Center, Inc Past Accepting new patients

Locations

100 Billingsley Rd
Charlotte, NC 28211
Phone (704) 376-7447

429 Billingsley Rd
Charlotte, NC 28211
Phone (704) 336-2023

4822 Albemarle Rd
#112B
Charlotte, NC 28205
Phone (704) 532-5757

1110 Sam Newell Rd
Ste A1
Matthews, NC 28105
Phone (980) 262-2473

Organizations & group practices 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1679580278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79254",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717061",
            "telephone_number": "704-234-2594",
            "fax_number": "855-313-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 UNIONVILLE INDIAN TRAIL RD W",
            "address_2": "SUITE A-1",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795583",
            "telephone_number": "704-234-2594",
            "fax_number": "855-313-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "HELEN",
        "middle_name": "BERNICE",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201021",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005792",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "BOYD",
            "middle_name": "BERNICE",
            "credential": "FNP, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

Verify at the official NPI Registry.