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MARYGRACE THERESE HAYDEN
NPI 1487243630
Physician Assistant in Clio, MI

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment
11307 N LINDEN RD, CLIO, MI 48420(810) 564-7995 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Jun 22, 2021, Jan 12, 2021 (3 updates tracked since 2021).

About Marygrace Therese Hayden NPPES

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

MARYGRACE THERESE HAYDEN (NPI 1487243630) is an individual physician assistant in Clio, Michigan, licensed in Michigan (5601010659) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487243630
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARYGRACE THERESE HAYDEN
Location Address11307 N LINDEN RDClio, MI 48420-8589
Mailing Address11307 N Linden RdClio, MI 48420-8589 · (810) 564-7995
Phone(810) 564-7995
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 12, 2021
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1487243630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010659
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11307 N LINDEN RD, Clio, MI 48420
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Other Names 1

Former Name (1)Marygrace Therese Stark

Secondary Practice Location 1

Location 1259 Mack AveDetroit, MI 48201-2427 · Phone (313) 577-1716

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marygrace Therese Hayden 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 ID9436531159
PECOS Enrollment IDI20220727003760
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48420 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

JOHN ABELA
Physician Assistant (Surgical)
11307 N LINDEN RD
CLIO, MI 48420
Genesee County (810) 564-7995
BRETT AUSTIN MCGUE PA-C
Physician Assistant
11307 N LINDEN RD
CLIO, MI 48420
Genesee County (810) 564-7995
JENNIFER SUZANNE SHIVNEN PA-C
Physician Assistant
11307 N LINDEN RD
CLIO, MI 48420
Genesee County (810) 564-7995
MONTANA BORIS PA-C
Physician Assistant
11307 N LINDEN RD
CLIO, MI 48420
Genesee County (810) 564-7995
EMILY MARIE JACKSON
Physician Assistant
11307 N LINDEN RD
CLIO, MI 48420
Genesee County (810) 564-7995
MATTHEW KANELOS PA-C
Physician Assistant
11307 N LINDEN RD, B
CLIO, MI 48420
Genesee County (810) 564-7995

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 Marygrace Hayden's NPI number?

The NPI number for Marygrace Hayden is 1487243630. It was assigned to this individual provider in the NPPES registry on January 12, 2021. The provider is also known as Marygrace Therese Stark.

Where is Marygrace Hayden located?

Marygrace Hayden practices at 11307 N Linden Rd, Clio, MI 48420. The listed phone number is (810) 564-7995.

What is Marygrace Hayden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marygrace Hayden enrolled in Medicare?

Yes. Marygrace Hayden 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.

When was this NPI record last updated?

The NPPES record for Marygrace Hayden was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.