Individual provider Active NPI

Carla Renee Hayes, ARNP-CNP

  • Family Nurse Practitioner
  • Park Hill, OK
National Provider Identifier
1891189726
Registry record updated Mar 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
91705 Issued in OK
Practice address
24891 Highway 82
Park Hill, OK 74451-4089
Phone
(918) 931-1321
NPI assigned
Mar 28, 2015
Last updated
Mar 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 91705 OK Primary

Addresses

Primary practice location

24891 Highway 82
Park Hill, OK 74451-4089

Mailing address

24891 Highway 82
Park Hill, OK 74451-4089
Phone (918) 931-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20150602000321 OK Practitioner - Nurse Practitioner 9335460450 Reassigns benefits to 3 organizations
I20190315000914 TX Practitioner - Nurse Practitioner 9335460450 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
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91705OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Nov 13, 2018 Accepting new patients
Cherokee Nation CurrentSince Nov 13, 2018 Accepting new patients
Northeastern Health System CurrentSince May 5, 2015 Accepting new patients
Cherokee Nation Current Accepting new patients
Northeastern Health System CurrentSince May 5, 2015 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Tahlequah Medical Group LLC CurrentSince Oct 1, 2016 Accepting new patients
Cherokee Nation Current Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 11

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 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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1891189726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24891 HIGHWAY 82",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744514089",
            "telephone_number": "918-931-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24891 HIGHWAY 82",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744514089",
            "telephone_number": "918-931-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "CARLA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2015-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "91705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Hill, OK

Sources for this page

Verify at the official NPI Registry.