Active NPI
Kristen M. Hayes, M.D.
- Emergency Medicine Physician
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036136466
- Practice address
- 1 General St
Andrea Sullivan-Director of Managed Care Dept.
Lawrence, MA 01841-2961 - Phone
- (978) 683-4000
- Fax
- (978) 946-8017
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 218843 | MA | |
| Emergency Medicine Physician | 207P00000X | 036136466 | IL | Primary |
Addresses
Primary practice location
1 General St
Andrea Sullivan-Director of Managed Care Dept.
Lawrence, MA 01841-2961
Mailing address
PO Box 439039
San Ysidro, CA 92143-9039
Phone (773) 620-2054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Skokie Blvd
Suite 350
Wilmette, IL 60091-1146
Phone (847) 256-8600
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218843 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochelle Community Hospital Association | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Rochelle Community Hospital Association | Emergency Medicine | Current | Accepting new patients |
| Rochelle Community Hospital Association | Current | Accepting new patients | |
| DPMS Medical LLC | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| William Piccione MD LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
610 S Maple Ave
Ste 2800
Oak Park, IL 60304
Phone (312) 563-4120
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
1000 Skokie Blvd
Ste 350
Wilmette, IL 60091
Phone (847) 256-8600
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 and National Provider Directory roles.
-
- Phlebology Physician
- Oak Park, IL
- NPI 1023830668
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Family Medicine Physician
- Rochelle, IL
- NPI 1568518322
Emergency Medicine
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1518415751
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Medicare Defined Swing Bed Hospital Unit
- Rochelle, IL
- NPI 1346207669
-
- Vascular Surgery Physician
- Oak Park, IL
- NPI 1740468545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1790760429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 439039",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921439039",
"telephone_number": "773-620-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENERAL ST",
"address_2": "ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412961",
"telephone_number": "978-683-4000",
"fax_number": "978-946-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KRISTEN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "218843",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036136466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.