Active NPI
Carrie Marie Hayen, D.O.
- Family Medicine Physician
- Escanaba, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101016767
- Practice address
- 710 S Lincoln Rd
Ste 100
Escanaba, MI 49829-1292 - Phone
- (906) 786-4628
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101016767 | MI | Primary |
Addresses
Primary practice location
710 S Lincoln Rd
Ste 100
Escanaba, MI 49829-1292
Mailing address
710 S Lincoln Rd
Ste 100
Escanaba, MI 49829-1293
Phone (906) 225-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881800530 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 W Fair Ave
Suite 36
Marquette, MI 49855-2675
Phone (906) 225-3864
Hospital & facility affiliations
- Up Health System Home Care and Hospice
- Osf St Francis Hospital Home Health Care
- Uphs Marquette DLP Hospital
- Osf St Francis Hospital and Medical Group
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016767 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Family Medicine | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Family Medicine | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients |
Locations
710 S Lincoln Rd
Ste 100
Escanaba, MI 49829
Phone (906) 786-4628
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
Interoperability endpoints
- carrie.hayen.1@8233.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Family Medicine
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Family Medicine Physician
- Escanaba, MI
- NPI 1538415021
-
- Emergency Medicine Physician
- Marquette, MI
- NPI 1366790727
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- Home Health Agency
- Marquette, MI
- NPI 1457899668
-
- Home Health Agency
- Escanaba, MI
- NPI 1033157037
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1881800530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S LINCOLN RD",
"address_2": "STE 100",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291293",
"telephone_number": "906-225-3630",
"fax_number": "906-225-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S LINCOLN RD",
"address_2": "STE 100",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291292",
"telephone_number": "906-786-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYEN",
"first_name": "CARRIE",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101016767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881800530",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.