Individual provider Active NPI

Patricia Emerson Hayden

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1851790471
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R082546 Issued in MD
Practice address
631 Cherry Hill Rd
Baltimore, MD 21225-1228
Phone
(410) 354-2001
Fax
(410) 354-3674
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R082546 MD Primary

Addresses

Primary practice location

631 Cherry Hill Rd
Baltimore, MD 21225-1228

Mailing address

631 Cherry Hill Rd
Baltimore, MD 21225-1228
Phone (410) 354-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170626001965 MD Practitioner - Nurse Practitioner 0042535411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (410) 659-7041

405 Frederick Rd
Suite 210
Catonsville, MD 21228-4647
Phone (410) 788-6565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R082546MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Menocal Medical Services PA Current Accepting new patients
Privia Care Center LLC CurrentSince Aug 18, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 18, 2019 Accepting new patients
Privia Medical Group, LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 18, 2019 Accepting new patients
Privia Care Center LLC CurrentSince Aug 18, 2019 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

405 Frederick Rd
Ste 210
Catonsville, MD 21228
Phone (410) 788-6565

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patricia.hayden.1@8042.direct.athenahealth.com

Organizations & group practices 7

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1851790471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "410-354-2001",
            "fax_number": "410-354-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "410-354-2001",
            "fax_number": "410-354-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "PATRICIA",
        "middle_name": "EMERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R082546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.