Individual provider Active NPI

Olivia Anne Hayes, NP

  • Nurse Practitioner
  • Peru, IN
National Provider Identifier
1881077931
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005724A Issued in IN
Practice address
750 N Broadway
Peru, IN 46970-1027
Phone
(260) 569-2120
Fax
(260) 569-2121
NPI assigned
Jul 8, 2015
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 71005724A IN Primary
Registered Nurse 163W00000X 28157516A IN

Addresses

Primary practice location

750 N Broadway
Peru, IN 46970-1027

Mailing address

401 E 8TH St
Rochester, IN 46975-1443
Phone (574) 722-5151

Other practice location 1

1000 N Broadway
Peru, IN 46970-1070
Phone (574) 722-5151

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151014001344 IN Practitioner - Nurse Practitioner 3375852304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

401 E 8TH St
Suite a
Rochester, IN 46975-1444
Phone (574) 223-8565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
79.78
Improvement activities
40
Cost
80.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28157516AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Sep 9, 2024 Accepting new patients
Four County Comprehensive Mental Health Center Inc CurrentSince Sep 9, 2024 Accepting new patients

Locations

1015 Michigan Ave
Logansport, IN 46947

1700 Dividend Dr
Logansport, IN 46947
Phone (574) 722-7407

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

2355 S Business 31
Peru, IN 46970

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

401 E 8th St
Ste A
Rochester, IN 46975
Phone (574) 205-9563

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1881077931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 8TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751443",
            "telephone_number": "574-722-5151",
            "fax_number": "574-735-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701027",
            "telephone_number": "260-569-2120",
            "fax_number": "260-569-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IN",
            "postal_code": "469701070",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-735-3019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "OLIVIA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005724A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28157516A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "750 N Broadway",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "750 N Broadway",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.