GRADAPHENE I HAYDEN FNP-C
NPI 1649929811
Nurse Practitioner - Family in Scottsville, KY

Q: What is Gradaphene Hayden's NPI number?

The NPI number for Gradaphene Hayden is 1649929811. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Gradaphene Hayden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gradaphene Hayden was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 23, 2022PECOS Enrolled

12 SUNSHINE LN, SCOTTSVILLE, KY 42164(904) 598-4622 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gradaphene I Hayden Fnp-c NPPES

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

GRADAPHENE I HAYDEN FNP-C (NPI 1649929811) is an individual family provider in Scottsville, Kentucky, licensed in Kentucky (3017577) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649929811

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGRADAPHENE I HAYDENCredential: FNP-C

Location Address12 SUNSHINE LNScottsville, KY 42164-7962

Mailing Address12 Sunshine LnScottsville, KY 42164-7962 · (904) 598-4622

Phone(904) 598-4622

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 23, 2022

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1649929811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in KY · 3017577✔ Licensed in WA · ARNP.AP.70138382-NP

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3017577 (KY)

12 SUNSHINE LN, Scottsville, KY 42164

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gradaphene I Hayden Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173910957

PECOS Enrollment IDI20251010000005, I20260608002945

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

Medicare enrollment records show Gradaphene Hayden reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fast Pace Kentucky PLLC

18 mi

Family

1475 NASHVILLE RD
Franklin, KY 42134

Reassigned Medicare billing, Kentucky enrollment
427 clinicians in this Medicare group

NPI 1457716706 (270) 813-1111

Longevity Clinical Ltc Associates Of Tennessee, PLLC

26 mi

Geriatric Medicine

309 MAIN ST
Red Boiling Springs, TN 37150

Reassigned Medicare billing, Tennessee enrollment
8 clinicians in this Medicare group

NPI 1326878299 (615) 699-2238

Longevity Clinical Ltc Associates Of Kentucky, PLLC

107 mi

Geriatric Medicine

2100 CHEROKEE RIDGE WAY STE 100
Louisville, KY 40205

Reassigned Medicare billing, Kentucky enrollment
18 clinicians in this Medicare group

NPI 1932935798 (502) 667-8150

Molina Care Connections, LLC.

1,810 mi

Nurse Practitioner

200 OCEANGATE STE 100
Long Beach, CA 90802

Reassigned Medicare billing, Kentucky and Michigan enrollments
92 clinicians in this Medicare group

NPI 1407243223 (888) 562-5442

Molina Healthcare Of Washington, Inc

1,972 mi

Family Medicine

21540 30TH DR SE STE 400
Bothell, WA 98021

Reassigned Medicare billing, Washington enrollment
207 clinicians in this Medicare group

NPI 1659897163 (888) 562-5442

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 5

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

46 services22 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

25 services24 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

21 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42164 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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 Gradaphene Hayden's NPI number?

The NPI number for Gradaphene Hayden is 1649929811. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Gradaphene Hayden located?

Gradaphene Hayden practices at 12 Sunshine Ln, Scottsville, KY 42164. The listed phone number is (904) 598-4622.

What is Gradaphene Hayden's specialty?

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

Is Gradaphene Hayden enrolled in Medicare?

Yes. Gradaphene Hayden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gradaphene Hayden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gradaphene Hayden reassigns Medicare benefits to 5 organizations: Fast Pace Kentucky PLLC (Franklin, KY), Longevity Clinical Ltc Associates Of Tennessee, PLLC (Red Boiling Springs, TN), Longevity Clinical Ltc Associates Of Kentucky, PLLC (Louisville, KY), Molina Care Connections, LLC. (Long Beach, CA) and Molina Healthcare Of Washington, Inc (Bothell, WA). 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 Gradaphene Hayden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gradaphene Hayden was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.