Individual provider Active NPI

Marcia Ann Hayes

  • Family Nurse Practitioner
  • Kewaunee, WI
National Provider Identifier
1891009338
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6017-33 Issued in WI
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140221000458 SC Practitioner - Nurse Practitioner 0345470217 Reassigns benefits to 1 organization
I20140924000394 WI Practitioner - Nurse Practitioner 0345470217 Reassigns benefits to 1 organization

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
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

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

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Dec 27, 2013 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Sep 1, 2016 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Sep 1, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Dec 27, 2013 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

  • Direct secure messaging: mhayes157531@direct.thedacare.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.