Active NPI
Marcia Ann Hayes
- Family Nurse Practitioner
- Kewaunee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6017-33
- Practice address
- 575 4TH St
Kewaunee, WI 54216-1785 - Phone
- (920) 388-4640
- Fax
- (920) 388-0479
- NPI assigned
- Jul 26, 2010
- Last updated
- Sep 24, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4236 | SC | |
| Family Nurse Practitioner | 363LF0000X | 6017-33 | WI | Primary |
Addresses
Primary practice location
575 4TH St
Kewaunee, WI 54216-1785
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 B School Creek TRL
Luxemburg, WI 54217-1095
Phone (920) 845-5555
143 School Creek TRL
Luxemburg, WI 54217-1095
Phone (920) 845-5950
1510 Fremont St
Algoma, WI 54201-1948
Phone (920) 487-3676
2020 S Webster Ave
Accounting
Green Bay, WI 54301-3505
3415 Custer St D
Manitowoc, WI 54220-4356
Phone (920) 652-9310
575 4TH St
Kewaunee, WI 54216-1785
Phone (920) 388-4640
744 S Webster Ae
Green Bay, WI 54301-3505
744 S Webster Ave
Green Bay, WI 54301-3505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
1025 Verdae Blvd
Ste A
Greenville, SC 29607
Phone (864) 242-4683
1510 Fremont St
Algoma, WI 54201
Phone (920) 487-3676
831 Parker Ave
Algoma, WI 54201
Phone (920) 487-3084
1726 N Ballard Rd
Appleton, WI 54911
Phone (920) 991-9072
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
575 4th St
Kewaunee, WI 54216
Phone (920) 388-4640
1765 N 18th St
Manitowoc, WI 54220
Phone (920) 482-0575
3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310
Interoperability endpoints
- mhayes157531@direct.thedacare.org
- mhayes916553@direct.emplifyhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba Bellin Health Fast Care West
- Family Medicine Physician
- Green Bay, WI
- NPI 1073566725
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba University Medical Group/Internal Medicine Associates of Greenville
- Internal Medicine Physician
- Greenville, SC
- NPI 1083787006
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": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1891009338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 4TH ST",
"city": "KEWAUNEE",
"state": "WI",
"postal_code": "542161785",
"telephone_number": "920-388-4640",
"fax_number": "920-388-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "MARCIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "4236",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "6017-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kewaunee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.