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MS. MARCIA ANN HAYES
NPI 1891009338
Nurse Practitioner - Family in Kewaunee, WI

Active since July 26, 2010PECOS EnrolledAccepts Medicare Assignment
575 4TH ST, KEWAUNEE, WI 54216(920) 388-4640(920) 388-0479 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Marcia Ann Hayes NPPES

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

MS. MARCIA ANN HAYES (NPI 1891009338) is an individual family provider in Kewaunee, Wisconsin, licensed in Wisconsin (6017-33) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1891009338
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARCIA ANN HAYES
Location Address575 4TH STKewaunee, WI 54216-1785
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 388-4640
Fax(920) 388-0479
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 26, 2010
Last NPPES UpdateSeptember 24, 2015
✔ NPI 1891009338 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
Licenses✔ Licensed in WI · 6017-33✔ Licensed in SC · 4236
575 4TH ST, Kewaunee, WI 54216
Open in Google Maps ↗

Other Identifiers 3

Medicare OSCAR/certificationK400226031WI
Medicare OSCAR/certificationK400164397WI
Medicare OSCAR/certificationK400243111WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Ms. Marcia Ann Hayes 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 ID345470217
PECOS Enrollment IDI20140221000458, I20140924000394
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 54216 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims15 services$5.71 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier19 claims19 services$13.59 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$7.09 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier25 claims25 services$37.85 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier11 claims22 services$2.52 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
2 suppliers23 claims23 services$30.86 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 13

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

OCONTO HOSPITAL & MEDICAL CENTER INC
Clinic/Center (Rural Health)
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-4640
MARK A FUSS PA
Physician Assistant
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-4640
TERESA M VANLANEN OT
Occupational Therapist
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-4640
BROOK LEIGH RONSMAN APNP
Nurse Practitioner (Family)
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-4640
THOMAS MICHAEL ZENNER MD
Family Medicine
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-4640
ANTHONY MICHAEL SACHSE PT, LAT
Physical Therapist
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-4640
MARIE G SMITH RD
Dietitian, Registered
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-4640
BELLIN PSYCHIATRIC CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
575 4TH ST
KEWAUNEE, WI 54216
Kewaunee County (920) 433-3630

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 Marcia Hayes's NPI number?

The NPI number for Marcia Hayes is 1891009338. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Marcia Hayes located?

Marcia Hayes practices at 575 4th St, Kewaunee, WI 54216. The listed phone number is (920) 388-4640.

What is Marcia Hayes's specialty?

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

Is Marcia Hayes enrolled in Medicare?

Yes. Marcia 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 Marcia Hayes accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Marcia 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 Marcia Hayes was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.