Individual provider Active NPI

Sara Jean Hayes, FNP

  • Nurse Practitioner
  • Farmington, ME
National Provider Identifier
1831253392
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18544 Issued in ME
Practice address
193 Front St
Suite 5
Farmington, ME 04938-5834
Phone
(207) 778-4553
Fax
(207) 778-4553
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18544 ME Primary

Addresses

Primary practice location

193 Front St
Suite 5
Farmington, ME 04938-5834

Mailing address

53 Richards LN
Freeport, ME 04032-6712
Phone (207) 778-4553

Other identifiers 1

IdentifierTypeStateIssuer
262890099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20130722000377 ME Practitioner - Nurse Practitioner 7214178086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18544MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning Association of Maine Inc CurrentSince May 1, 2013 Accepting new patients
Family Planning Association of Maine Inc CurrentSince May 1, 2013 Accepting new patients

Locations

43 Gabriel Dr
Augusta, ME 04330
Phone (207) 248-3927

193 Front St
Ste 5
Farmington, ME 04938
Phone (207) 778-4553

179 Lisbon St
Lewiston, ME 04240
Phone (207) 783-1043

9 Marston St
Norway, ME 04268
Phone (207) 331-5165

Organizations & group practices 2

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831253392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RICHARDS LN",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326712",
            "telephone_number": "207-778-4553",
            "fax_number": "207-778-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 FRONT ST",
            "address_2": "SUITE 5",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049385834",
            "telephone_number": "207-778-4553",
            "fax_number": "207-778-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SARA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "18544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262890099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.