Individual provider Active NPI

Kristen M. Hayes, M.D.

  • Emergency Medicine Physician
  • Lawrence, MA
National Provider Identifier
1790760429
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036136466 Issued in IL
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

Updated by the provider on Jul 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130002643 IL Practitioner - Emergency Medicine 7113816232 Reassigns benefits to 5 organizations

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
DPMS Medical LLCGroup PAC ID 2567983943, 2 clinicians

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 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218843MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochelle Community Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 14, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Rochelle Community Hospital Association Emergency Medicine Current Accepting new patients
Rochelle Community Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
DPMS Medical LLC CurrentSince Mar 13, 2025 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.

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

Verify at the official NPI Registry.