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SHANTELL KOREY HAYES FNP-C
NPI 1710499686
Nurse Practitioner in Decatur, TX

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment
2014 BEN MERRITT DR STE A, DECATUR, TX 76234(940) 249-9009 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2023, Jun 22, 2023, Apr 18, 2019 and 1 more (4 updates tracked since 2017).

About Shantell Korey Hayes Fnp-c NPPES

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

SHANTELL KOREY HAYES FNP-C (NPI 1710499686) is an individual nurse practitioner in Decatur, Texas, licensed in Texas (AP135654) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710499686
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANTELL KOREY HAYESCredential: FNP-C
Location Address2014 BEN MERRITT DR STE ADecatur, TX 76234-3851
Mailing AddressPo Box 2078Decatur, TX 76234-6156
Phone(940) 249-9009
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 31, 2017
Last NPPES UpdateNovember 10, 20234 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1710499686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP135654
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP135654 (TX)
2014 BEN MERRITT DR STE A, Decatur, TX 76234
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Other Identifiers 2

Other8HV879TX · Bcbstx
Medicaid379841501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Shantell Korey Hayes Fnp-c 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 ID4284992926
PECOS Enrollment IDI20171229000715
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,585 services223 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
886 services157 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
213 services198 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

OLIVIA HILLARD WHNP-BC
Nurse Practitioner (Women's Health)
2014 BEN MERRITT DR STE A
DECATUR, TX 76234
Wise County (940) 627-2409
MEAGAN LYNN BILDZUKEWICZ PA
Physician Assistant
2014 BEN MERRITT DR STE A
DECATUR, TX 76234
Wise County (940) 249-9009
MR. STEVEN H SHELTON NP
Nurse Practitioner (Gerontology)
2014 BEN MERRITT DR STE A
DECATUR, TX 76234
Wise County (940) 249-9009

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 Shantell Hayes's NPI number?

The NPI number for Shantell Hayes is 1710499686. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is Shantell Hayes located?

Shantell Hayes practices at 2014 Ben Merritt Dr Ste A, Decatur, TX 76234. The listed phone number is (940) 249-9009.

What is Shantell Hayes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shantell Hayes enrolled in Medicare?

Yes. Shantell 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.

What insurance does Shantell Hayes accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Shantell 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.

When was this NPI record last updated?

The NPPES record for Shantell Hayes was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.