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MS. LUSHELL HAYES FNP
NPI 1437740842
Nurse Practitioner - Family in Elizabeth City, NC

Active since January 28, 2021PECOS EnrolledAccepts Medicare Assignment
1134 N ROAD ST STE 9, ELIZABETH CITY, NC 27909(252) 339-4978 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2022, Jan 28, 2021 (2 updates tracked since 2021).

About Ms. Lushell Hayes Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LUSHELL HAYES FNP (NPI 1437740842) is an individual family provider in Elizabeth City, North Carolina, licensed in North Carolina (HAYE-2YV3Q) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437740842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LUSHELL HAYESCredential: FNP
Location Address1134 N ROAD ST STE 9Elizabeth City, NC 27909-3467
Mailing Address1134 N Road St Ste 9Elizabeth City, NC 27909-3467 · (252) 331-1100
Phone(252) 339-4978
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 28, 2021
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1437740842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · HAYE-2YV3Q
1134 N ROAD ST STE 9, Elizabeth City, NC 27909
Open in Google Maps ↗

Other Identifiers 2

OtherHAYE-2YV3QNC · Other Insurance
MedicaidHAYE-2YV3QNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lushell Hayes Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315355146
PECOS Enrollment IDI20240127000758
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lushell Hayes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albemarle Physician Services - Sentara, Inc
Same address
Neurology
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1407124654 (252) 384-4804
Eastern Carolina Cardiovascular, PA
0.1 mi
Cardiovascular Disease
1134 N ROAD ST, BLDG.9
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1043264724 (252) 338-9451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
283 services150 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
153 services117 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers11 claims22 services$1.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$2.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$62.51 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers15 claims2,260 services$0.03 avg. paid by Medicare
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier22 claims22 services$2,007.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers32 claims32 services$23.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIARINA SIMEONE HEYDER PA-C
Physician Assistant
1134 N ROAD ST STE 9
ELIZABETH CITY, NC 27909
Pasquotank County (252) 331-1100
CLODIA JORDAN CHAPPELL WHITE PA
Physician Assistant
1134 N ROAD ST STE 9
ELIZABETH CITY, NC 27909
Pasquotank County (252) 331-1100
EDWARD JAMES HEALY PAC
Physician Assistant
1134 N ROAD ST STE 9
ELIZABETH CITY, NC 27909
Pasquotank County (252) 338-9451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lushell Hayes's NPI number?

The NPI number for Lushell Hayes is 1437740842. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Lushell Hayes located?

Lushell Hayes practices at 1134 N Road St Ste 9, Elizabeth City, NC 27909. The listed phone number is (252) 339-4978.

What is Lushell Hayes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lushell Hayes enrolled in Medicare?

Yes. Lushell Hayes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lushell Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lushell Hayes reassigns Medicare benefits to 2 organizations: Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC) and Eastern Carolina Cardiovascular, PA (Elizabeth City, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lushell Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lushell Hayes accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Lushell Hayes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lushell Hayes affiliated with any hospitals?

According to CMS data, Lushell Hayes is affiliated with Sentara Albemarle Medical Center.

When was this NPI record last updated?

The NPPES record for Lushell Hayes was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.