Individual provider Active NPI

Carrie Marie Hayen, D.O.

  • Family Medicine Physician
  • Escanaba, MI
National Provider Identifier
1881800530
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016767 Issued in MI
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

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1881800530MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000429 MI Practitioner - Family Practice 2769534841 Reassigns benefits to 1 organization

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
DLP Marquette Physician Practices IncGroup PAC ID 9931359601, 193 clinicians

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 Home health agency, Marquette, MI, CCN 237093
  • Osf St Francis Hospital Home Health Care Home health agency, Escanaba, MI, CCN 237239
  • Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
  • Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016767MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc Family Medicine Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince May 20, 2013 Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine CurrentSince May 20, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.